Dental
Economy Dentistry for Children Children's General Dentistry , LLC
Economy Dentistry for Children Children's General Dentistry , LLC was paid $206K by Medicaid between Sep 2018 and Jun 2021, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoECONOMY DENTISTRY FOR CHILDREN CHILDREN'S GENERAL DENTISTRY , LLC
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
33aNPI1225317423assigned 08/05/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$206K
24GClaims12,990
24DCodes billed23
24AFirst – last monthSep 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#113 of 568
Median peer was paid$24K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2018 | 597 | $6K | |
| 2019 | 846 | $12K | |
| 2020 | 11,443 | $188K | |
| 2021 | 104 | $519.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 1,179 | 1,169 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 573 | 349 | $38K |
| D1351 | Sealant - per tooth | 11% | 700 | 244 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 245 | 237 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 208 | 134 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 958 | 944 | $7K |
| D7111 | 3.4% | 128 | 83 | $7K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 34 | 28 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 325 | 306 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 34 | 30 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,941 | 1,448 | $2K |
| D1110 | Prophylaxis - adult | <1% | 483 | 478 | $2K |
11 more codes
| D0274 | Bitewings - four radiographic images | <1% | 463 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 51 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,644 | $684.43 |
| D1999 | <1% | 15 | $600.00 | |
| D1330 | <1% | 1,531 | $575.03 | |
| D3120 | <1% | 65 | $335.76 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,453 | $306.90 |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $150.00 |
| D0272 | Bitewings - two radiographic images | <1% | 647 | $128.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 16 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 264 | $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 Dupont Station | Jacksonville, FL | $166K |
| 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.