Dental
Obt Dental Spa
Obt Dental Spa was paid $47K by Medicaid between Oct 2018 and Dec 2024, across 20 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoOBT DENTAL SPA
ORLANDO, FL 32837
ORLANDO, FL 32837
33aNPI1538399324assigned 07/15/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims6,975
24DCodes billed20
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#232 of 568
Median peer was paid$24K
This provider vs. median2.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 153 | $875.72 | |
| 2019 | 102 | $49.00 | |
| 2020 | 1,964 | $23K | |
| 2021 | 68 | $0.00 | |
| 2022 | 1,169 | $3K | |
| 2023 | 1,470 | $2K | |
| 2024incomplete | 2,049 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 464 | 431 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 231 | 222 | $6K |
| D1110 | Prophylaxis - adult | 12% | 333 | 324 | $5K |
| D1206 | Topical application of fluoride varnish | 11% | 794 | 770 | $5K |
| D0330 | Panoramic radiographic image | 10% | 392 | 360 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 124 | 49 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 147 | 147 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 33 | 25 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 2,072 | 665 | $1K |
| D1330 | 1.7% | 339 | 335 | $787.12 | |
| D0240 | 1.1% | 42 | 37 | $539.28 | |
| D0350 | <1% | 370 | 338 | $328.55 |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 767 | $304.60 |
| D4346 | <1% | 16 | $260.90 | |
| D1351 | Sealant - per tooth | <1% | 118 | $230.42 |
| D0274 | Bitewings - four radiographic images | <1% | 396 | $193.00 |
| D4921 | <1% | 23 | $92.13 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $91.88 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $40.16 |
| D1310 | 0% | 286 | $0.00 |
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 officialOLMOS, RODOLFO (GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Eq Dental 1 PA | Orlando, FL | $353K |
| Hallmark Dental | Kissimmee, FL | $25K |
| Elite Dental | Altamonte Springs, FL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.