Active NPI 1013194331 Individual Practitioner Male Practitioner

Dr. Franklin E Del Rio , DDS

Dentist • South Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Franklin Del Rio, DDS is a certified Dentist practicing in South Miami, FL. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Del Rio delivers high-quality medical care to the local community at 5975 SUNSET DR STE 404.

Dr. Del Rio accepts Medicare assignment.

Frequently performed procedures and clinical services include management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per, impression and custom preparation of oral surgical splint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5975 Sunset Dr Ste 404

South Miami, FL 331435198

Telephone 3056684919

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in South Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +12.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 15.2 Yrs

Regional Practice Density

24 Specialists

Practicing in South Miami, FL (6414 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Del Rio (40 Years) 40 Yrs

South Miami Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	263	52	$55.00	$40.87
21085 Impression and custom preparation of oral surgical splint	28	28	$1100.00	$720.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$250.00	$235.29
70355 X-ray of lower jaws, upper jaws and teeth	24	24	$75.00	$19.26
70140 X-ray of bones of face, less than 3 views	24	24	$150.00	$33.05
70100 X-ray of mandible, less than 4 views	24	24	$150.00	$40.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	225	44	$55.00	$41.89
21085 Impression and custom preparation of oral surgical splint	31	30	$1100.00	$726.02
70355 X-ray of lower jaws, upper jaws and teeth	26	26	$75.00	$19.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$250.00	$235.84
70140 X-ray of bones of face, less than 3 views	26	26	$150.00	$34.02
70100 X-ray of mandible, less than 4 views	26	26	$150.00	$40.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	263	47	$55.00	$43.56
21085 Impression and custom preparation of oral surgical splint	27	27	$1066.67	$734.64
70140 X-ray of bones of face, less than 3 views	18	18	$150.00	$34.55
70100 X-ray of mandible, less than 4 views	18	18	$150.00	$41.20
70355 X-ray of lower jaws, upper jaws and teeth	18	18	$75.00	$19.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$250.00	$241.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	252	45	$55.00	$44.08
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	97	17	$45.00	$27.11
97032 Application of electrical stimulation with therapist present, each 15 minutes	40	20	$30.00	$12.67
76102 Complex motion imaging procedure on both sides of body	38	34	$280.00	$145.88
70100 X-ray of mandible, less than 4 views	29	29	$150.00	$40.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$250.00	$244.09
70355 X-ray of lower jaws, upper jaws and teeth	29	29	$75.00	$20.24
70140 X-ray of bones of face, less than 3 views	29	29	$150.00	$34.52
21085 Impression and custom preparation of oral surgical splint	28	28	$800.00	$746.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	208	27	$45.00	$27.01
97032 Application of electrical stimulation with therapist present, each 15 minutes	76	26	$30.00	$12.85
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	66	25	$55.00	$49.26
76102 Complex motion imaging procedure on both sides of body	20	20	$280.00	$149.56
21085 Impression and custom preparation of oral surgical splint	18	18	$833.33	$779.46
70355 X-ray of lower jaws, upper jaws and teeth	16	16	$75.00	$20.83
70140 X-ray of bones of face, less than 3 views	16	16	$150.00	$33.37
70100 X-ray of mandible, less than 4 views	16	16	$150.00	$38.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$250.00	$228.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	338	28	$45.00	$27.38
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	177	42	$55.00	$46.36
97032 Application of electrical stimulation with therapist present, each 15 minutes	168	35	$30.00	$12.69
21085 Impression and custom preparation of oral surgical splint	32	32	$856.25	$797.15
76102 Complex motion imaging procedure on both sides of body	30	29	$280.00	$154.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$250.00	$223.91
70355 X-ray of lower jaws, upper jaws and teeth	27	27	$75.00	$21.86
70140 X-ray of bones of face, less than 3 views	27	27	$150.00	$32.28
70100 X-ray of mandible, less than 4 views	27	27	$150.00	$36.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	363	34	$45.00	$25.79
97032 Application of electrical stimulation with therapist present, each 15 minutes	173	39	$30.00	$12.31
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	162	44	$51.36	$40.70
76102 Complex motion imaging procedure on both sides of body	18	17	$280.00	$153.87
21085 Impression and custom preparation of oral surgical splint	16	16	$800.00	$780.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$250.00	$213.08
70355 X-ray of lower jaws, upper jaws and teeth	14	14	$75.00	$21.63
70140 X-ray of bones of face, less than 3 views	14	14	$150.00	$29.72
70100 X-ray of mandible, less than 4 views	14	14	$150.00	$32.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	800	53	$45.00	$25.54
97032 Application of electrical stimulation with therapist present, each 15 minutes	258	50	$30.00	$13.91
97762 Evaluation of orthotic or prosthetic use, each 15 minutes	250	56	$45.00	$38.27
21085 Impression and custom preparation of oral surgical splint	24	24	$800.00	$774.73
76102 Complex motion imaging procedure on both sides of body	24	24	$280.00	$147.99
70100 X-ray of mandible, less than 4 views	20	20	$150.00	$32.48
70355 X-ray of lower jaws, upper jaws and teeth	20	20	$75.00	$21.37
70140 X-ray of bones of face, less than 3 views	20	20	$150.00	$29.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$250.00	$209.66

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 11796

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Guillermo Del Rio , DDS

Dentist - General Practice

NPI 1578998985

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2008

Registered at 5975 SUNSET DR STE 404, SOUTH MIAMI, FL 331435198 (Tel: 3056684919)

📍

Updated Business Mailing Address January 29, 2008

Registered at 5975 SUNSET DR STE 404, SOUTH MIAMI, FL 331435198 (Tel: 3056684919)

👤

Provider Name / Credentials Updated January 29, 2008

Recorded as FRANKLIN DEL RIO, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2008

Dentist (License #11796 in FL)

🟢

Initial NPI Registration & Enumeration January 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013194331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 29, 2008

Last Update: January 29, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5975 Sunset Dr Ste 404

South Miami, FL 331435198

Phone: 3056684919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.