Excellent Dental PA

Excellent Dental PA was paid $123K by Medicaid between Jul 2022 and Nov 2023, across 18 billing codes. Its largest line is D0330, Panoramic radiographic image — 19% of everything it billed.

33Billing provider infoEXCELLENT DENTAL PA
KISSIMMEE, FL 34741

33aNPI1104576487assigned 03/28/2022

33bProvider typeDentist

28Total paid$123K

24GClaims10,368

24DCodes billed18

24AFirst – last monthJul 2022 – Nov 2023

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#160 of 542

Median peer was paid$25K

This provider vs. median4.9×

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	3,020	$26K
2023	7,348	$97K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	19%	712	688	$23K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	17%	332	194	$21K
D0150	Comprehensive oral evaluation - new or established patient	16%	1,931	1,882	$20K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	614	394	$19K
D4341		12%	848	291	$15K
D0210	Intraoral - complete series of radiographic images	7.0%	460	450	$9K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.8%	190	116	$3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.6%	82	53	$3K
D0230	Intraoral - periapical each additional radiographic image	2.4%	2,024	1,112	$3K
D0274	Bitewings - four radiographic images	2.0%	464	449	$2K
D1110	Prophylaxis - adult	1.5%	79	77	$2K
D0220	Intraoral - periapical first radiographic image	1.4%	2,482	2,229	$2K

6 more codes

D2332		<1%	29	$682.00
D0120	Dental checkup, returning patient	<1%	16	$268.09
D0140	Limited oral evaluation - problem focused	<1%	13	$147.11
D1206	Topical application of fluoride varnish	<1%	34	$10.95
D1330		0%	44	$0.00
D1208	Topical application of fluoride, excluding varnish	0%	14	$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 officialWOOLF, JARED (PRESIDENT)