Clinic
Victus Dental II PA
Victus Dental II PA was paid $332K by Medicaid between Mar 2022 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoVICTUS DENTAL II PA
PENSCOLA, FL 32534
PENSCOLA, FL 32534
33aNPI1467917823assigned 02/09/2019
33bProvider typeDental Clinic/Center
28Total paid$332K
24GClaims6,960
24DCodes billed15
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#17 of 87
Median peer was paid$67K
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 | 334 | $8K | |
| 2023 | 1,705 | $69K | |
| 2024incomplete | 4,921 | $255K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 373 | 255 | $59K |
| D1110 | Prophylaxis - adult | 17% | 633 | 632 | $56K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 327 | 327 | $52K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 192 | 116 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 535 | 533 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 773 | 773 | $15K |
| D0274 | Bitewings - four radiographic images | 3.6% | 354 | 354 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 95 | 60 | $12K |
| D1330 | 3.2% | 1,256 | 1,251 | $11K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,172 | 1,168 | $9K |
| D1351 | Sealant - per tooth | 2.4% | 269 | 72 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 299 | 298 | $8K |
3 more codes
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 officialLE, ANTHONY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Victus Dental | Pensacola, FL | $1.41M |
| Victus Dental III PA | Pensacola, FL | $163K |
| Anthony Le, DPM a Professional Corporation | Tarzana, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.