Dental
Oakland Pediatric Dentistry, LLC
Oakland Pediatric Dentistry, LLC was paid $64K by Medicaid between Mar 2024 and Dec 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoOAKLAND PEDIATRIC DENTISTRY, LLC
WINTER GARDEN, FL 34787
WINTER GARDEN, FL 34787
33aNPI1629751375assigned 08/09/2023
33bProvider typePediatric Dentist
28Total paid$64K
24GClaims3,937
24DCodes billed20
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#144 of 246
Median peer was paid$107K
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 | |
|---|---|---|---|
| 2024incomplete | 3,937 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 485 | 129 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 365 | 362 | $10K |
| D1206 | Topical application of fluoride varnish | 13% | 388 | 385 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 327 | 323 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.7% | 55 | 14 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 117 | 101 | $4K |
| D0272 | Bitewings - two radiographic images | 5.2% | 261 | 259 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 55 | 25 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 514 | 312 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 381 | 364 | $2K |
| D0240 | 2.7% | 99 | 98 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 38 | 19 | $2K |
8 more codes
| D1330 | 1.8% | 334 | $1K | |
| D1110 | Prophylaxis - adult | 1.7% | 37 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 17 | $960.00 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 79 | $847.00 |
| D0274 | Bitewings - four radiographic images | <1% | 33 | $528.00 |
| D0603 | <1% | 175 | $174.00 | |
| D0602 | <1% | 145 | $145.00 | |
| D0601 | <1% | 32 | $32.00 |
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 officialDA COSTA, WALMIR (OWNER)