Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ECONOMY DENTURES OF HUDSON LLC

NPI: 1487897575 · HUDSON, FL 34667 · General Practice Dentistry · NPI assigned 04/20/2009

$10K
Total Medicaid Paid
203
Total Claims
77
Beneficiaries
4
Codes Billed
2018-09
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPOLITE, LEROY (OWNER)
Parent OrganizationECONOMY DENTURES
NPI Enumeration Date04/20/2009

Related Entities

Other providers sharing the same authorized official: POLITE, LEROY

ProviderCityStateTotal Paid
ECONOMY DENTISTRY FOR CHILDREN CHILDREN'S GENERAL DENTISTRY , LLC JACKSONVILLE FL $206K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 203 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 137 15 $5K
D5110 15 13 $3K
D0150 Comprehensive oral evaluation - new or established patient 18 17 $695.78
D0330 Panoramic radiographic image 33 32 $311.00