Clinic
Economy Dentistry for Children - Dupont Station, LLC
Economy Dentistry for Children - Dupont Station, LLC was paid $159K by Medicaid between Jan 2020 and Jun 2023, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoECONOMY DENTISTRY FOR CHILDREN - DUPONT STATION, LLC
KISSIMMEE, FL 34744
KISSIMMEE, FL 34744
33aNPI1790246411assigned 03/26/2019
33bProvider typeDental Clinic/Center
28Total paid$159K
24GClaims10,053
24DCodes billed20
24AFirst – last monthJan 2020 – Jun 2023
Compared with peers
Next to other Dental Clinic/Center providers in Florida
Rank by total paid#29 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 | |
|---|---|---|---|
| 2020 | 1,542 | $32K | |
| 2022 | 5,920 | $91K | |
| 2023 | 2,591 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 1,274 | 1,271 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 685 | 684 | $27K |
| D0330 | Panoramic radiographic image | 16% | 427 | 426 | $26K |
| D1110 | Prophylaxis - adult | 9.1% | 265 | 265 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 150 | 99 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 137 | 93 | $7K |
| D1351 | Sealant - per tooth | 4.2% | 516 | 141 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 878 | 876 | $4K |
| D1330 | 2.2% | 1,701 | 1,698 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 330 | 303 | $3K |
| D9999 | Unspecified adjunctive procedure, by report | 1.3% | 98 | 98 | $2K |
| D7111 | <1% | 18 | 12 | $1K |
8 more codes
| D0274 | Bitewings - four radiographic images | <1% | 241 | $996.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 407 | $329.08 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $238.00 |
| D0272 | Bitewings - two radiographic images | <1% | 852 | $117.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 373 | $87.70 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 190 | $74.00 |
| D1206 | Topical application of fluoride varnish | <1% | 1,478 | $56.60 |
| D3120 | 0% | 18 | $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 officialPOLITE, LEROY (PRESIDENT)
Parent organizationECONOMY DENTISTRY FOR CHILDREN - DUPONT STATION, LLC
| Provider | Location | Paid |
|---|---|---|
| Economy Dentistry for Children Children's General Dentistry , LLC | Jacksonville, FL | $206K |
| Economy Dentistry Dupont Station | Jacksonville, FL | $166K |
| Economy Dentures | Jacksonville, FL | $130K |
| Economy Dentures | South Daytona, FL | $15K |
| Economy Dentures of Kissimmee | Kissimmee, FL | $12K |
| Economy Dentures of Hudson LLC | Hudson, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.