Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Prime Pediatric Dental Group PA

Prime Pediatric Dental Group PA was paid $29K by Medicaid between Oct 2024 and Oct 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 12% of everything it billed.

33Billing provider infoPRIME PEDIATRIC DENTAL GROUP PA
MIAMI, FL 33135
33aNPI1528885910assigned 09/25/2024
33bProvider typePediatric Dentist
28Total paid$29K
24GClaims1,452
24DCodes billed15
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#169 of 246
Median peer was paid$107K
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete1,452$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 133 133 $4K
D1120 Dental cleaning, childProphylaxis - child 11% 122 122 $3K
D1351 Sealant - per tooth 11% 135 32 $3K
D0330 Panoramic radiographic image 8.7% 46 46 $3K
D0220 Intraoral - periapical first radiographic image 6.8% 207 174 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6.6% 28 26 $2K
D1330 6.5% 177 177 $2K
D1208 Topical application of fluoride, excluding varnish 6.4% 101 101 $2K
D0272 Bitewings - two radiographic images 6.0% 116 116 $2K
D0230 Intraoral - periapical each additional radiographic image 5.3% 139 138 $2K
D1110 Prophylaxis - adult 5.1% 51 51 $1K
D0150 Comprehensive oral evaluation - new or established patient 4.1% 44 44 $1K
3 more codes
D1206 Topical application of fluoride varnish 3.8% 68 $1K
D9920 3.8% 32 $1K
D0274 Bitewings - four radiographic images 3.0% 53 $879.34

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMELLADO, JOSE (PRESIDENT)
Parent organizationPRIME PEDIATRIC DENTAL GROUP PA
Same official

Other billing entities under MELLADO, JOSE

Full network →
ProviderLocationPaid
Prime Pediatric Dental Group PAHialeah, FL$292K
Prime Pediatric Dental Group PANorth Miami, FL$268K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.