NPI: 1568023067 · CLEARWATER, FL 33761 · General Practice Dentistry · NPI assigned 06/25/2019
Authorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
| Authorized Official | KRASNOV, ROSTISLAV (OWNER) |
| NPI Enumeration Date | 06/25/2019 |
Other providers sharing the same authorized official: KRASNOV, ROSTISLAV
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTLAND MALL DENTAL, PA | HIALEAH | FL | $923K |
| CROSS COUNTY MALL DENTAL, PA | WEST PALM BEACH | FL | $906K |
| BROWARD MALL DENTAL, PA | PLANTATION | FL | $620K |
| MIAMI INTERNATIONAL MALL DENTAL, PA | MIAMI | FL | $528K |
| ALTAMONTE MALL DENTAL PA | ALTAMONTE SPRINGS | FL | $395K |
| BRANDON MALL DENTAL P.A. | BRANDON | FL | $283K |
| EDISON MALL DENTAL P.A | FORT MYERS | FL | $255K |
| BOYNTON BEACH MALL DENTAL PA | BOYNTON BEACH | FL | $174K |
| SAWGRASS MILLS MALL DENTAL, PA | SUNRISE | FL | $169K |
| REGENCY SQUARE MALL DENTAL | JACKSONVILLE | FL | $163K |
| PEMBROKE LAKES MALL DENTAL PA | PEMBROKE PINES | FL | $62K |
| LAUDERHILL MALL DENTAL, PA | LAUDERHILL | FL | $31K |
| TYRONE SQUARE MALL DENTAL P.A | ST PETERSBURG | FL | $14K |
| WILLOWBROOK MALL DENTAL | HOUSTON | TX | $10K |
| METROTECH DENTAL ASSOCIATES PLLC | BROOKLYN | NY | $8K |
| WHEATON MALL DENTAL LLP | WHEATON | MD | $3K |
| PG PLAZE DENTAL | HYATTSVILLE | MD | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 301 | $4K |
| 2021 | 2,196 | $20K |
| 2022 | 4,846 | $50K |
| 2023 | 5,260 | $69K |
| 2024 | 1,043 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 1,804 | 1,789 | $87K |
| D0120 | Periodic oral evaluation - established patient | 342 | 339 | $14K |
| D1110 | Prophylaxis - adult | 660 | 654 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 392 | 217 | $11K |
| D0140 | Limited oral evaluation - problem focused | 493 | 450 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 138 | 101 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 79 | 25 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 51 | 51 | $3K |
| D0330 | Panoramic radiographic image | 1,883 | 1,869 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 876 | 859 | $2K |
| D9310 | 24 | 24 | $1K | |
| D1330 | 1,754 | 1,635 | $1K | |
| D0272 | Bitewings - two radiographic images | 1,572 | 1,558 | $1K |
| D4355 | 51 | 51 | $985.92 | |
| D0220 | Intraoral - periapical first radiographic image | 1,743 | 1,727 | $828.36 |
| D9999 | Unspecified adjunctive procedure, by report | 14 | 14 | $280.00 |
| D4346 | 27 | 27 | $111.61 | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,646 | 1,630 | $107.80 |
| D1120 | Prophylaxis - child | 33 | 33 | $36.00 |
| D4921 | 64 | 56 | $0.00 |