Dental
Pediatric Dentistry and Orthodontics of Windermere, LLC
Pediatric Dentistry and Orthodontics of Windermere, LLC was paid $382K by Medicaid between Jul 2023 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY AND ORTHODONTICS OF WINDERMERE, LLC
WINDERMERE, FL 34786
WINDERMERE, FL 34786
33aNPI1588135859assigned 12/16/2018
33bProvider typePediatric Dentist
28Total paid$382K
24GClaims15,543
24DCodes billed21
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#75 of 246
Median peer was paid$107K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2023 | 4,706 | $110K | |
| 2024incomplete | 10,837 | $272K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,564 | 1,561 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,300 | 1,297 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,812 | 1,809 | $39K |
| D0272 | Bitewings - two radiographic images | 6.2% | 1,028 | 1,026 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 2,217 | 1,897 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 3,163 | 1,776 | $23K |
| D1110 | Prophylaxis - adult | 5.7% | 342 | 342 | $22K |
| D0330 | Panoramic radiographic image | 5.2% | 242 | 241 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 304 | 286 | $19K |
| D9920 | 4.9% | 345 | 345 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 361 | 361 | $17K |
| D1351 | Sealant - per tooth | 3.6% | 328 | 98 | $14K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.7% | 244 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 190 | $9K |
| D1330 | 2.2% | 1,641 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 140 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 28 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $2K |
| D0602 | <1% | 214 | $1K | |
| D0603 | <1% | 38 | $190.76 |
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 officialCHAUDHRY, MUBASHIR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medicaid Dentistry of Daytona LLC | Daytona Beach, FL | $2.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.