Palmetto Dental Care INC

Palmetto Dental Care INC was paid $43K by Medicaid between Feb 2023 and Nov 2024, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 45% of everything it billed.

33Billing provider infoPALMETTO DENTAL CARE INC
HIALEAH, FL 33014

33aNPI1619646106assigned 09/08/2021

33bProvider typeDental Clinic/Center

28Total paid$43K

24GClaims1,776

24DCodes billed8

24AFirst – last monthFeb 2023 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in Florida

Rank by total paid#48 of 87

Median peer was paid$67K

This provider vs. median0.6×

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	904	$23K
2024incomplete	872	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	45%	543	539	$19K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	33%	430	252	$14K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	9.9%	84	56	$4K
D0150	Comprehensive oral evaluation - new or established patient	7.6%	559	555	$3K
D1110	Prophylaxis - adult	2.7%	83	83	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.5%	21	12	$639.28
D0220	Intraoral - periapical first radiographic image	<1%	42	42	$44.02
D0230	Intraoral - periapical each additional radiographic image	0%	14	13	$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 officialSIMBACO, WALTER (OWNER/GENERAL DENTIST)