Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOYNTON BEACH MALL DENTAL PA

NPI: 1861053480 · BOYNTON BEACH, FL 33426 · General Practice Dentistry · NPI assigned 06/25/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KRASNOV, ROSTISLAV controls 17+ related entities in our dataset. Read more

$174K
Total Medicaid Paid
20,422
Total Claims
18,703
Beneficiaries
21
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSTISLAV (OWNER)
NPI Enumeration Date06/25/2019

Related Entities

Other providers sharing the same authorized official: KRASNOV, ROSTISLAV

ProviderCityStateTotal 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
EDISON MALL DENTAL P.A FORT MYERS FL $255K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 32 $2K
2020 299 $6K
2021 111 $959.45
2022 8,286 $67K
2023 5,918 $57K
2024 5,776 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 2,996 2,826 $102K
D0210 Intraoral - complete series of radiographic images 198 198 $13K
D0220 Intraoral - periapical first radiographic image 3,629 3,350 $9K
D0330 Panoramic radiographic image 2,491 2,317 $9K
D0140 Limited oral evaluation - problem focused 650 574 $7K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 270 111 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 176 98 $5K
D0120 Periodic oral evaluation - established patient 142 136 $4K
D0272 Bitewings - two radiographic images 2,875 2,683 $4K
D1110 Prophylaxis - adult 543 533 $4K
D9310 217 210 $3K
D1330 1,928 1,775 $3K
D0230 Intraoral - periapical each additional radiographic image 3,371 3,059 $2K
D1208 Topical application of fluoride, excluding varnish 519 499 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 94 58 $2K
D1206 Topical application of fluoride varnish 166 166 $1K
D1120 Prophylaxis - child 42 42 $532.48
D1351 Sealant - per tooth 57 12 $388.30
D4355 32 30 $156.69
D9999 Unspecified adjunctive procedure, by report 13 13 $60.00
D0601 13 13 $9.00