Cape Side Dental P a

Cape Side Dental P a was paid $6K by Medicaid between Jan 2020 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoCAPE SIDE DENTAL P A
PALM BAY, FL 32909

33aNPI1669780284assigned 09/16/2010

33bProvider typeDentist

28Total paid$6K

24GClaims1,231

24DCodes billed9

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#375 of 542

Median peer was paid$25K

This provider vs. median0.2×

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
2020	151	$2K
2021	30	$0.00
2022	267	$2K
2023	326	$2K
2024incomplete	457	$64.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	123	121	$2K
D1110	Prophylaxis - adult	24%	110	98	$1K
D0150	Comprehensive oral evaluation - new or established patient	21%	86	74	$1K
D0330	Panoramic radiographic image	18%	44	43	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.3%	110	102	$441.33
D1208	Topical application of fluoride, excluding varnish	<1%	425	394	$57.23
D0274	Bitewings - four radiographic images	0%	28	27	$0.00
D0220	Intraoral - periapical first radiographic image	0%	14	13	$0.00
D1330		0%	291	270	$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 officialARTLEY, SAMUEL (OWNER/DOCTOR)