Clinic
Economy Dentistry Dupont Station
Economy Dentistry Dupont Station was paid $166K by Medicaid between Dec 2019 and Jun 2021, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoECONOMY DENTISTRY DUPONT STATION
JACKSONVILLE, FL 32217
JACKSONVILLE, FL 32217
33aNPI1124364971assigned 12/26/2012
33bProvider typeDental Clinic/Center
28Total paid$166K
24GClaims10,513
24DCodes billed20
24AFirst – last monthDec 2019 – Jun 2021
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#27 of 87
Median peer was paid$67K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 758 | $9K | |
| 2020 | 9,462 | $157K | |
| 2021 | 293 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 986 | 974 | $65K |
| D1351 | Sealant - per tooth | 21% | 778 | 277 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 301 | 196 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 264 | 178 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 7.0% | 72 | 63 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 152 | 152 | $6K |
| D7111 | 3.6% | 116 | 81 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 378 | 366 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 1,354 | 1,120 | $3K |
| D1330 | <1% | 1,245 | 1,231 | $661.00 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 74 | 64 | $571.76 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 15 | $432.54 |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,329 | $365.03 |
| D1110 | Prophylaxis - adult | <1% | 346 | $298.78 |
| D0272 | Bitewings - two radiographic images | <1% | 610 | $163.14 |
| D1120 | Dental cleaning, child | <1% | 810 | $127.32 |
| D0274 | Bitewings - four radiographic images | <1% | 301 | $72.45 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 1,199 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 12 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 171 | $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 officialPOLITE, LEROY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Economy Dentistry for Children Children's General Dentistry , LLC | Jacksonville, FL | $206K |
| Economy Dentistry for Children - Dupont Station, LLC | Kissimmee, FL | $159K |
| Economy Dentures | Jacksonville, FL | $130K |
| Economy Dentures | South Daytona, FL | $15K |
| Economy Dentures of Kissimmee | Kissimmee, FL | $12K |
| Economy Dentures of Hudson LLC | Hudson, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.