Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › SOUTH DAYTONA › ECONOMY DENTURES

ECONOMY DENTURES

NPI: 1578732962 · SOUTH DAYTONA, FL 32119 · Dentist · NPI assigned 02/29/2008

$15K
Total Medicaid Paid
369
Total Claims
114
Beneficiaries
5
Codes Billed
2018-09
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPOLITE, LEROY (D.M.D)
Parent OrganizationECONOMY DENTURES OF SO DAYTONA
NPI Enumeration Date02/29/2008

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 OF KISSIMMEE KISSIMMEE FL $12K
ECONOMY DENTURES OF HUDSON LLC HUDSON FL $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 369 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 161 30 $5K
D7140 Extraction, erupted tooth or exposed root 128 13 $4K
D0150 Comprehensive oral evaluation - new or established patient 34 30 $3K
D5110 13 12 $3K
D0330 Panoramic radiographic image 33 29 $128.00