Dental
West Side Pediatric Dentistry PA
West Side Pediatric Dentistry PA was paid $210K by Medicaid between Dec 2019 and Aug 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoWEST SIDE PEDIATRIC DENTISTRY PA
MIRAMAR, FL 33027
MIRAMAR, FL 33027
33aNPI1790050417assigned 03/13/2012
33bProvider typePediatric Dentist
28Total paid$210K
24GClaims17,286
24DCodes billed14
24AFirst – last monthDec 2019 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#101 of 246
Median peer was paid$107K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 131 | $250.67 | |
| 2020 | 2,760 | $26K | |
| 2021 | 359 | $6K | |
| 2022 | 5,520 | $83K | |
| 2023 | 5,503 | $78K | |
| 2024incomplete | 3,013 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 2,585 | 2,445 | $84K |
| D1110 | Prophylaxis - adult | 36% | 1,606 | 1,538 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,729 | 3,553 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 377 | 359 | $15K |
| D0330 | Panoramic radiographic image | 2.6% | 69 | 62 | $6K |
| D1330 | <1% | 523 | 375 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 16 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,644 | 2,472 | $937.84 |
| D0272 | Bitewings - two radiographic images | <1% | 1,694 | 1,602 | $773.48 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,978 | 1,840 | $749.85 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,871 | 1,735 | $304.56 |
| D0274 | Bitewings - four radiographic images | <1% | 62 | 52 | $145.74 |
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 officialFERRER, DEBORAH (OWNER)