Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ECONOMY DENTURES OF KISSIMMEE

NPI: 1962712182 · KISSIMMEE, FL 34744 · General Practice Dentistry · NPI assigned 10/21/2010

$12K
Total Medicaid Paid
111
Total Claims
80
Beneficiaries
5
Codes Billed
2018-08
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPOLITE, LEROY (PRESIDENT)
NPI Enumeration Date10/21/2010

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 SOUTH DAYTONA FL $15K
ECONOMY DENTURES OF HUDSON LLC HUDSON FL $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D5110 25 24 $7K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 39 13 $2K
D5212 14 12 $2K
D0330 Panoramic radiographic image 18 17 $398.00
D0150 Comprehensive oral evaluation - new or established patient 15 14 $232.00