Dental
Prime Pediatric Dental Group PA
Prime Pediatric Dental Group PA was paid $292K by Medicaid between Oct 2024 and Dec 2024, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoPRIME PEDIATRIC DENTAL GROUP PA
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1730906124assigned 09/25/2024
33bProvider typePediatric Dentist
28Total paid$292K
24GClaims13,185
24DCodes billed25
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#89 of 246
Median peer was paid$107K
This provider vs. median2.7×
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 | 13,185 | $292K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,405 | 1,403 | $38K |
| D1351 | Sealant - per tooth | 11% | 1,417 | 336 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 1,500 | 1,498 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 834 | 834 | $23K |
| D0330 | Panoramic radiographic image | 7.2% | 377 | 376 | $21K |
| D1110 | Prophylaxis - adult | 6.9% | 674 | 672 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.2% | 249 | 221 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 1,471 | 1,457 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 1,462 | 1,443 | $16K |
| D1330 | 5.4% | 1,504 | 1,501 | $16K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 190 | 112 | $12K |
| D0274 | Bitewings - four radiographic images | 3.9% | 700 | 698 | $11K |
13 more codes
| D0272 | Bitewings - two radiographic images | 3.9% | 743 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 149 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.8% | 30 | $5K |
| D9920 | 1.6% | 138 | $5K | |
| D7111 | 1.2% | 50 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 71 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 29 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 80 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | $695.00 |
| D3120 | <1% | 25 | $472.50 | |
| D0603 | <1% | 17 | $17.00 | |
| D0602 | <1% | 17 | $14.00 | |
| D0601 | <1% | 14 | $13.00 |
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 officialMELLADO, JOSE (PRESIDENT)
Parent organizationPRIME PEDIATRIC DENTAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Prime Pediatric Dental Group PA | North Miami, FL | $268K |
| Prime Pediatric Dental Group PA | Miami, FL | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.