Dental
Edison Mall Dental P.A
Edison Mall Dental P.A was paid $255K by Medicaid between Sep 2018 and Dec 2024, across 26 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 37% of everything it billed.
33Billing provider infoEDISON MALL DENTAL P.A
FORT MYERS, FL 33901
FORT MYERS, FL 33901
33aNPI1831500404assigned 05/16/2014
33bProvider typeDentist
28Total paid$255K
24GClaims19,934
24DCodes billed26
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#110 of 542
Median peer was paid$25K
This provider vs. median10×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more
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 | 400 | $7K | |
| 2020 | 1,410 | $19K | |
| 2021 | 159 | $2K | |
| 2022 | 4,365 | $47K | |
| 2023 | 6,630 | $100K | |
| 2024incomplete | 6,970 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 37% | 2,668 | 2,656 | $93K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 634 | 228 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 727 | 715 | $30K |
| D0330 | Panoramic radiographic image | 6.1% | 2,573 | 2,557 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 270 | 270 | $15K |
| D9310 | 4.2% | 133 | 133 | $11K | |
| D4341 | 3.5% | 407 | 105 | $9K | |
| D2335 | 2.8% | 242 | 54 | $7K | |
| D1330 | 2.6% | 1,082 | 1,032 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 127 | 65 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 3,235 | 2,870 | $5K |
| D8660 | 1.4% | 151 | 151 | $4K |
14 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 788 | $3K |
| D1120 | Dental cleaning, child | <1% | 462 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 69 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,232 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 1,123 | $2K |
| D2332 | <1% | 30 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 129 | $971.06 |
| D0274 | Bitewings - four radiographic images | <1% | 1,386 | $964.07 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 24 | $878.90 |
| D1206 | Topical application of fluoride varnish | <1% | 210 | $697.44 |
| D0140 | Limited oral evaluation - problem focused | <1% | 29 | $454.19 |
| D1351 | Sealant - per tooth | 0% | 56 | $0.00 |
| D0340 | 0% | 121 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 26 | $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 officialKRASNOV, ROSTISLAV (DDS)
| Provider | Location | Paid |
|---|---|---|
| Westland Mall Dental, PA | Hialeah, FL | $923K |
| Cross County Mall Dental, PA | West Palm Beach, FL | $906K |
| Broward Mall Dental, PA | Plantation, FL | $620K |
| Miami International Mall Dental, PA | Miami, FL | $528K |
| Altamonte Mall Dental PA | Altamonte Springs, FL | $395K |
| Brandon Mall Dental P.A. | Brandon, FL | $283K |
| Boynton Beach Mall Dental PA | Boynton Beach, FL | $174K |
| Sawgrass Mills Mall Dental, PA | Sunrise, FL | $169K |
| Regency Square Mall Dental | Jacksonville, FL | $163K |
| Countryside Mall Dental PA | Clearwater, FL | $155K |
| Pembroke Lakes Mall Dental PA | Pembroke Pines, FL | $62K |
| Lauderhill Mall Dental, PA | Lauderhill, FL | $31K |
| Tyrone Square Mall Dental P.A | St Petersburg, FL | $14K |
| Willowbrook Mall Dental | Houston, TX | $10K |
| Metrotech Dental Associates PLLC | Brooklyn, NY | $8K |
| Wheaton Mall Dental LLP | Wheaton, MD | $3K |
| PG Plaze Dental | Hyattsville, MD | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.