Clinic
Victus Dental III PA
Victus Dental III PA was paid $163K by Medicaid between Oct 2023 and Dec 2024, across 13 billing codes. Its largest line is D2394, — 51% of everything it billed.
33Billing provider infoVICTUS DENTAL III PA
PENSACOLA, FL 32514
PENSACOLA, FL 32514
33aNPI1588312268assigned 03/12/2022
33bProvider typeDental Clinic/Center
28Total paid$163K
24GClaims6,648
24DCodes billed13
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#28 of 87
Median peer was paid$67K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 1,626 | $89K | |
| 2024incomplete | 5,022 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2394 | 51% | 440 | 218 | $83K | |
| D9420 | 48% | 536 | 530 | $79K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 963 | 389 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 975 | 384 | $90.96 |
| D1206 | Topical application of fluoride varnish | 0% | 531 | 525 | $0.00 |
| D1330 | 0% | 531 | 525 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,130 | 347 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 308 | 114 | $0.00 |
| D2330 | 0% | 46 | 24 | $0.00 | |
| D9310 | 0% | 18 | 18 | $0.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 532 | 526 | $0.00 |
| D0350 | 0% | 533 | 527 | $0.00 |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 105 | $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 officialLE, ANTHONY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Victus Dental | Pensacola, FL | $1.41M |
| Victus Dental II PA | Penscola, FL | $332K |
| 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.