Dental
Key West Dental Management Group LLC
Key West Dental Management Group LLC was paid $32K by Medicaid between Aug 2022 and Dec 2024, across 11 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 59% of everything it billed.
33Billing provider infoKEY WEST DENTAL MANAGEMENT GROUP LLC
KEY WEST, FL 33040
KEY WEST, FL 33040
33aNPI1699446633assigned 09/21/2021
33bProvider typeEndodontist
28Total paid$32K
24GClaims2,674
24DCodes billed11
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Endodontist providers in Florida
Rank by total paid#28 of 45
Median peer was paid$68K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 321 | $7K | |
| 2023 | 1,111 | $19K | |
| 2024incomplete | 1,242 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 59% | 701 | 692 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 837 | 825 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 161 | 66 | $3K |
| D1110 | Prophylaxis - adult | 7.2% | 252 | 250 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 154 | 66 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 22 | 21 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 140 | 136 | $296.81 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 33 | 31 | $260.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 177 | 171 | $215.25 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 180 | 174 | $106.06 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 17 | 17 | $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 officialSAMPEDRO, ISIS (C.O.O)