Dental
Doral Pediatric Dentistry, LLC
Doral Pediatric Dentistry, LLC was paid $902K by Medicaid between Oct 2018 and Dec 2024, across 29 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoDORAL PEDIATRIC DENTISTRY, LLC
DORAL, FL 33178
DORAL, FL 33178
33aNPI1720202815assigned 04/12/2007
33bProvider typePediatric Dentist
28Total paid$902K
24GClaims80,408
24DCodes billed29
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#38 of 246
Median peer was paid$107K
This provider vs. median8.4×
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 | |
|---|---|---|---|
| 2018 | 105 | $2K | |
| 2020 | 7,574 | $114K | |
| 2021 | 2,125 | $23K | |
| 2022 | 24,755 | $315K | |
| 2023 | 28,563 | $309K | |
| 2024incomplete | 17,286 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 9,928 | 9,609 | $415K |
| D1110 | Prophylaxis - adult | 8.0% | 4,433 | 4,295 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 1,533 | 883 | $62K |
| D0272 | Bitewings - two radiographic images | 6.9% | 8,266 | 7,993 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 1,367 | 1,331 | $60K |
| D0330 | Panoramic radiographic image | 6.5% | 1,419 | 1,383 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 6,827 | 6,606 | $52K |
| D1351 | Sealant - per tooth | 2.5% | 7,573 | 1,824 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 744 | 458 | $20K |
| D1330 | 1.8% | 11,200 | 10,856 | $16K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 532 | 313 | $15K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 189 | 62 | $13K |
17 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,662 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 117 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 718 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 463 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,695 | $3K |
| D9920 | <1% | 107 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,123 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 31 | $252.55 |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 12 | $240.00 |
| D0601 | <1% | 7,365 | $165.00 | |
| D3120 | <1% | 73 | $119.28 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,701 | $33.67 |
| D0603 | <1% | 767 | $14.50 | |
| D0602 | <1% | 359 | $7.00 | |
| D9986 | 0% | 126 | $0.00 | |
| D9987 | 0% | 14 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 4,064 | $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 officialGARRASTAZU, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pembroke Pines Pediatric Dentistry | Pembroke Pines, FL | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.