East Victory Drive Dental Group, LLC

East Victory Drive Dental Group, LLC was paid $30K by Medicaid between Jan 2018 and Oct 2023, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoEAST VICTORY DRIVE DENTAL GROUP, LLC
SAVANNAH, GA 31404

33aNPI1497205637assigned 10/12/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims1,416

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#33 of 63

Median peer was paid$30K

This provider vs. median1.0×

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	447	$9K
2019	267	$6K
2020	230	$5K
2021	153	$4K
2022	147	$3K
2023	172	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	495	495	$11K
D1208	Topical application of fluoride, excluding varnish	16%	292	292	$5K
D1206	Topical application of fluoride varnish	15%	281	281	$5K
D1120	Dental cleaning, childProphylaxis - child	12%	107	107	$4K
D1110	Prophylaxis - adult	6.9%	41	41	$2K
D0274	Bitewings - four radiographic images	4.9%	54	54	$1K
D0272	Bitewings - two radiographic images	3.2%	51	51	$951.85
D0230	Intraoral - periapical each additional radiographic image	1.9%	52	52	$564.07
D0220	Intraoral - periapical first radiographic image	1.9%	43	42	$556.45

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 officialELKIN, PAUL (PRESIDENT AND OWNER)