Clinic
Cristal Pediatric Smile
Cristal Pediatric Smile was paid $1K by Medicaid between Sep 2023 and Sep 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoCRISTAL PEDIATRIC SMILE
TAMARAC, FL 33321
TAMARAC, FL 33321
33aNPI1689397796assigned 09/22/2022
33bProvider typeDental Clinic/Center
28Total paid$1K
24GClaims205
24DCodes billed5
24AFirst – last monthSep 2023 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#82 of 87
Median peer was paid$67K
This provider vs. median0.0×
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 | 24 | $0.00 | |
| 2024incomplete | 181 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 25 | 25 | $412.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 31% | 64 | 40 | $343.71 |
| D1206 | Topical application of fluoride varnish | 18% | 43 | 43 | $197.04 |
| D1330 | 7.7% | 45 | 45 | $84.42 | |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 28 | 28 | $59.80 |
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 officialROMERO, ALEJANDRA (PEDIATRIC DENTISTRY)