Icare Dental LLC

Icare Dental LLC was paid $39K by Medicaid between Oct 2024 and Nov 2024, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 28% of everything it billed.

33Billing provider infoICARE DENTAL LLC
LAKEWOOD, OH 44107

33aNPI1669242657assigned 01/02/2024

33bProvider typeDental Clinic/Center

28Total paid$39K

24GClaims444

24DCodes billed9

24AFirst – last monthOct 2024 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in Ohio

Rank by total paid#81 of 111

Median peer was paid$236K

This provider vs. median0.2×

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
2024incomplete	444	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	28%	113	39	$11K
D2332		27%	74	25	$11K
D2335		15%	33	13	$6K
D0330	Panoramic radiographic image	10%	47	47	$4K
D0150	Comprehensive oral evaluation - new or established patient	7.2%	57	57	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.0%	23	14	$2K
D1110	Prophylaxis - adult	4.3%	26	26	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	34	28	$383.37
D0220	Intraoral - periapical first radiographic image	<1%	37	36	$363.71

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 officialMOUDED, RAMI (MANAGER)