DR. MIKAELA BENLULU DDS
NPI 1295275642
Dentist - General Practice in Boynton Beach, FL

Active since March 06, 2017PECOS Enrolled
2623 S SEACREST BLVD STE 112, BOYNTON BEACH, FL 33435(561) 810-8790 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mikaela Benlulu Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIKAELA BENLULU DDS (NPI 1295275642) is an individual general practice provider in Boynton Beach, Florida, licensed in California (103748) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295275642
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIKAELA BENLULUCredential: DDS
Location Address2623 S SEACREST BLVD STE 112Boynton Beach, FL 33435-7531
Mailing Address639 E Ocean Ave Ste 409Boynton Beach, FL 33435-5017 · (561) 735-6553
Sole ProprietorYes
Enumeration DateMarch 6, 2017
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1295275642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 103748
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2623 S SEACREST BLVD STE 112, Boynton Beach, FL 33435

Other Names 1

Former Name (1)Mrs. Mikaela Goodman

Secondary Practice Locations 2

Location 19193 Sierra Ave Ste AFontana, CA 92335-4776 · Phone (909) 365-3565
Location 21100 N State St, Clinic Tower A3CLos Angeles, CA 90033-5000 · Phone (323) 409-5014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mikaela Benlulu Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
2623 S SEACREST BLVD STE 112
BOYNTON BEACH, FL 33435
Dentist (General Practice)
2623 S SEACREST BLVD STE 112
BOYNTON BEACH, FL 33435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikaela Benlulu's NPI number?

The NPI number for Mikaela Benlulu is 1295275642. It was assigned to this individual provider in the NPPES registry on March 6, 2017. The provider is also known as Mrs. Mikaela Goodman.

Where is Mikaela Benlulu located?

Mikaela Benlulu practices at 2623 S Seacrest Blvd Ste 112, Boynton Beach, FL 33435. The listed phone number is (561) 810-8790.

What is Mikaela Benlulu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mikaela Benlulu enrolled in Medicare?

Yes. Mikaela Benlulu is registered in the Medicare PECOS enrollment system.

What insurance does Mikaela Benlulu accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Mikaela Benlulu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikaela Benlulu was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.