Dental
Elite Dental
Elite Dental was paid $11K by Medicaid between Oct 2018 and Jul 2020, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.
33Billing provider infoELITE DENTAL
ALTAMONTE SPRINGS, FL 32714
ALTAMONTE SPRINGS, FL 32714
33aNPI1942522073assigned 02/16/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims562
24DCodes billed7
24AFirst – last monthOct 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#352 of 568
Median peer was paid$24K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 14 | $0.00 | |
| 2020 | 548 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 62% | 110 | 110 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 29 | 29 | $3K |
| D1110 | Prophylaxis - adult | 6.4% | 40 | 40 | $677.87 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 95 | 95 | $474.83 |
| D0330 | Panoramic radiographic image | 0% | 25 | 25 | $0.00 |
| D1330 | 0% | 160 | 160 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 103 | 103 | $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 officialOLMOS, RODOLFO (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Eq Dental 1 PA | Orlando, FL | $353K |
| Obt Dental Spa | Orlando, FL | $47K |
| Hallmark Dental | Kissimmee, FL | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.