Clinic
Gulfstream Pediatric Dentistry and Orthodontics LLC
Gulfstream Pediatric Dentistry and Orthodontics LLC was paid $588K by Medicaid between Mar 2022 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoGULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
BOYNTON BEACH, FL 33436
BOYNTON BEACH, FL 33436
33aNPI1871247692assigned 02/10/2022
33bProvider typeDental Clinic/Center
28Total paid$588K
24GClaims46,910
24DCodes billed19
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#11 of 87
Median peer was paid$67K
This provider vs. median8.7×
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 | |
|---|---|---|---|
| 2022 | 15,237 | $219K | |
| 2023 | 19,780 | $281K | |
| 2024incomplete | 11,893 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 5,515 | 5,385 | $220K |
| D1110 | Prophylaxis - adult | 29% | 2,026 | 1,976 | $173K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 6,538 | 5,261 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 825 | 607 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 369 | 363 | $19K |
| D0330 | Panoramic radiographic image | 1.6% | 611 | 609 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 3,945 | 3,857 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 5,971 | 5,832 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 494 | 433 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 29 | 24 | $6K |
| D1351 | Sealant - per tooth | <1% | 3,996 | 1,280 | $4K |
| D1330 | <1% | 6,035 | 5,896 | $4K |
7 more codes
| D0240 | <1% | 266 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,996 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,810 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 346 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 87 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 36 | $251.19 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 15 | $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 officialALEMAN, SAYLIS (PRACTICE ADMINISTRATOR)