3I Dental, LLC

3I Dental, LLC was paid $95K by Medicaid between Nov 2020 and Sep 2022, across 15 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 20% of everything it billed.

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
2020	81	$1K
2021	1,366	$29K
2022	2,987	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	20%	228	120	$19K
D1110	Prophylaxis - adult	15%	388	388	$14K
D0150	Comprehensive oral evaluation - new or established patient	13%	500	500	$12K
D1206	Topical application of fluoride varnish	11%	431	429	$11K
D0274	Bitewings - four radiographic images	9.1%	439	439	$9K
D0140	Limited oral evaluation - problem focused	6.9%	268	264	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.9%	65	37	$6K
D0220	Intraoral - periapical first radiographic image	4.9%	751	726	$5K
D0230	Intraoral - periapical each additional radiographic image	4.8%	900	447	$5K
D0330	Panoramic radiographic image	3.4%	116	116	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.6%	97	97	$2K
D1120	Dental cleaning, childProphylaxis - child	1.2%	39	39	$1K

3 more codes

D1999		1.1%	101	$1K
D0270		<1%	12	$157.56
D9986		0%	99	$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 officialMATRANGA, LUKE (DENTIST)