Clinic
Lakeside Dental Surgery Center LLC
Lakeside Dental Surgery Center LLC was paid $7.47M by Medicaid between Jul 2023 and Dec 2024, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 42% of everything it billed.
33Billing provider infoLAKESIDE DENTAL SURGERY CENTER LLC
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
33aNPI1598483414assigned 08/16/2022
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$7.47M
24GClaims21,731
24DCodes billed19
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Florida
Rank by total paid#8 of 165
Median peer was paid$41K
This provider vs. median182×
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 | 8,044 | $1.88M | |
| 2024incomplete | 13,687 | $5.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 42% | 5,874 | 1,838 | $3.14M |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 3,891 | 1,533 | $1.12M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,998 | 921 | $937K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 1,348 | 681 | $529K |
| D2330 | 6.7% | 1,253 | 676 | $504K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.1% | 3,255 | 1,358 | $383K |
| D2335 | 3.6% | 397 | 169 | $267K | |
| D2332 | 3.4% | 623 | 361 | $250K | |
| D2932 | 2.2% | 465 | 194 | $164K | |
| D2390 | 1.1% | 155 | 96 | $79K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 105 | 71 | $50K |
| D2331 | <1% | 104 | 54 | $20K |
7 more codes
| D1120 | Dental cleaning, child | <1% | 1,038 | $20K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 129 | $6K |
| D1351 | Sealant - per tooth | <1% | 742 | $509.85 |
| D3120 | <1% | 17 | $477.36 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 162 | $22.67 |
| D1510 | 0% | 58 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 117 | $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 officialWEAVER, ANDREW (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Smiling Kidds Dentistry, P.A. | Jacksonville, FL | $5.23M |
| Smiling Kidds Dentistry, P.A. | Kissimmee, FL | $1.79M |
| Smiling Kidds Dentistry, P.A. | Jacksonville, FL | $1.15M |
| Lakeside Anesthesia Group LLC | Jacksonville, FL | $209K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.