Dental
Sage Dental of Jacksonville Marietta PLLC
Sage Dental of Jacksonville Marietta PLLC was paid $12K by Medicaid between Dec 2023 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoSAGE DENTAL OF JACKSONVILLE MARIETTA PLLC
JACKSONVILLE, FL 32220
JACKSONVILLE, FL 32220
33aNPI1285413575assigned 09/26/2023
33bProvider typeDentist
28Total paid$12K
24GClaims4,176
24DCodes billed13
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#324 of 542
Median peer was paid$25K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 159 | $0.00 | |
| 2024incomplete | 4,017 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 164 | 131 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 292 | 247 | $3K |
| D0350 | 26% | 341 | 276 | $3K | |
| D0330 | Panoramic radiographic image | 4.8% | 55 | 51 | $570.28 |
| D1206 | Topical application of fluoride varnish | 3.2% | 550 | 445 | $384.33 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 57 | 55 | $344.02 |
| D0274 | Bitewings - four radiographic images | 2.4% | 541 | 433 | $292.29 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 653 | 494 | $154.02 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 566 | 455 | $89.47 |
| D1330 | <1% | 343 | 281 | $52.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 20 | 12 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 209 | 41 | $0.00 |
1 more codes
| D0120 | Dental checkup, returning patient | 0% | 385 | $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 officialROARK, CINDY (SVP & CHIEF CLINICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Gentle Dental of Belle Glade, P.A. | Belle Glade, FL | $448K |
| Sage Dental of West Lake Worth PLLC | Lake Worth, FL | $46K |
| Sage Dental of Lebanon, PLLC | Lebanon, TN | $307.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.