6-EXHIBIT D - Top 25 Providers.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
26P-040 Group Dental Insurance Services for Eligible Employees and Dependents
Solicitation number
26-040
Issued by
Marion County, Florida

About this file

This file is a Provider Utilization Report for the Marion County Employees group dental insurance plan, documenting claims and service activity for the period January 1, 2025 through December 31, 2025, with the report generated on January 9, 2026. The report identifies the top 25 dental service providers within the Marion County, Florida service area, listing both contracted and non-contracted providers across multiple dental specialties including general dentistry, pediatric dentistry, orthodontics, and multi-specialty practices. The data encompasses 20 unique dental provider organizations operating in the Ocala, Florida region and surrounding areas, with service locations concentrated primarily in Marion County.

The utilization report details claims activity, procedure codes, member counts, and financial metrics for each provider during the 2025 contract year. Jackson & Joyce Family Dentistry LLP emerged as the highest-volume provider with 858 combined claims across two rendering providers and 396 unique members served, generating $271,206 in total charges with $143,220.23 in paid claims. Ekadanta Dental PLLC and Marion Dental Group also demonstrated significant utilization, with 281 and 378 combined claims respectively. The report shows a mix of contracted and non-contracted providers, with contracted providers generally representing the majority of the network. Charge amounts across all providers totaled over $1.3 million, with paid claims totaling approximately $580,000, reflecting the benefit structure and reimbursement rates under the Marion County Employees dental plan for the 2025 benefit year.

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Sheet1 Provider Utilization - Product Management Group(s): MARION COUNTY EMPLOYEES

Service Date Begin: 1/1/2025 Service Date End: 12/31/2025 Report Run On :1/9/2026

Group BaseLOBBilling Provider NumberBilling Provider NameRendering Provider NumberRendering ProviderNameSpecialtyAddress1CityStateZipTax IDPar
IndicatorClaims CountProcedure Code CountMember CountCharge AmountPaid

Claims

177L22FL Group1235500679COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA1396108296POOJA B SANDESARAMulti-Specialty4608 SW COLLEGE RDOCALAFL34474200185918Contracted9230346$ 43,577.84$ 19,304.40
177L22FL Group1073867792COMFORTABLE CARE PA1295029973CHRISTOPHER A BONESTEELMulti-Specialty9590 SW 200 HWYOCALAFL34481200185918Contracted9624341$ 43,830.33$ 15,514.50
177L22FL Group1861508467DANIEL JONES DDS1861508467JAMES D JONESOrthodonticcs1500 SE 17TH ST STE 100OCALAFL34471270305503Contracted15415428$ 40,753.93$ 5,563.93
177L22FL Group1861508467DANIEL JONES DDS1861508467JAMES D JONESOrthodonticcs1500 SE 17TH ST STE 100OCALAFL34471270305503NonContracted12912029$ 73,822.32$ 5,621.32
177L22FL Group1730254657DANIEL WALKUP DMD1730254657DANIEL H WALKUPGeneral Dentistry1630 SE 18TH ST BLDG 500OCALAFL34471593358049Contracted214468109$ 66,975.00$ 31,990.20
177L22FL Group1447709720EKADANTA DENTAL PLLC1447709720GAYATHRI RAJUPediatric Dentistry5330 SW COLLEGE RD STE 1OCALAFL34474862772344Contracted2811081142$ 147,520.00$ 36,284.28
177L22FL Group1538573019GHRM ASSOCIATES PLLC1538573019RAMY MOUSAGeneral Dentistry2843 SE 17TH STOCALAFL34471844271477Contracted10627964$ 23,372.00$ 15,818.10
177L22FL Group1033474176GRINS AND GIGGLES PEDIATRIC DENTISTRY LLC1033474176RONDA L MOOREPediatric Dentistry231 NW 137TH DRJONESVILLEFL32669463595643Contracted9632450$ 35,399.00$ 12,959.00
177L22FL Group1447483524JACKSON & JOYCE FAMILY DENTISTRY LLP1093408312JESSE R LEBRECHTGeneral Dentistry1910 SE 18TH AVEOCALAFL34471263835251Contracted386779165$ 120,724.00$ 63,817.73
177L22FL Group1447483524JACKSON & JOYCE FAMILY DENTISTRY LLP1164493078JOSEPH C JOYCEGeneral Dentistry1910 SE 18TH AVEOCALAFL34471263835251Contracted4721044231$ 150,482.00$ 79,402.50
177L22FL Group1063567949LAWRENCE J SUTTON DDS PA1063567949LAWRENCE J SUTTONGeneral Dentistry2825 SE 17TH STOCALAFL34471593643669NonContracted12327859$ 46,499.00$ 19,073.99
177L22FL Group1336285600MARION DENTAL GROUP1821134107JAMES E EDWARDSMulti-Specialty9277 SE MARICAMP RDOCALAFL34472270728558Contracted9121262$ 24,453.00$ 10,452.50
177L22FL Group1336285600MARION DENTAL GROUP1659789600JOSEPH A SORRENTINOMulti-Specialty9277 SE MARICAMP RDOCALAFL34472270728558Contracted11228870$ 50,422.00$ 15,345.00
177L22FL Group1336285600MARION DENTAL GROUP1043835564MORGAN KUBISMulti-Specialty9277 SE MARICAMP RDOCALAFL34472270728558Contracted12724874$ 53,162.00$ 14,642.00
177L22FL Group1336285600MARION DENTAL GROUP1497854871THOMAS K BAILEYMulti-Specialty9277 SE MARICAMP RDOCALAFL34472270728558Contracted13934299$ 35,688.00$ 16,146.60
177L22FL Group1477165587OCALA KIDS DENTISTRY PA1477165587DESIREE MCMILLENPediatric Dentistry3235 SW 34TH ST STE 103OCALAFLUnkno994418753NonContracted8037540$ 21,353.34$ 9,961.68
177L22FL Group1063690709REED ORTHODONTICS PLLC1063690709JUDDSON R REEDGeneral Dentistry2720 SE 17TH STOCALAFL34471261118812NonContracted837811$ 33,174.69$ 4,029.49
177L22FL Group1871649103RONALD J ROZANSKI DMD1871649103RONALD J ROZANSKIGeneral Dentistry1500 SE 17TH ST STE 300OCALAFL34471264319163NonContracted15020196$ 49,685.00$ 22,296.43
177L22FL Group1669492732STEPHEN H LOFTIS DDS1669492732STEPHEN H LOFTISGeneral Dentistry3423 E SILVER SPRINGS BLVD STE 6OCALAFL34470591613016Contracted7212833$ 13,709.00$ 7,609.80
177L22FL Group1053531095THE TOOTH SHOP OF OCALA LLC1053531095NILES A SYSKAGeneral Dentistry1226 SE 24TH RDOCALAFL34471861961326Contracted21857178$ 93,330.00$ 31,520.60
177L22FL Group1902162027VENTURES OF NORTH CENTRAL FLORIDA LLC1528119203ALEESHA M FREIMUTHGeneral Dentistry2509 SE 17TH STOCALAFL34471455031707Contracted252497112$ 55,070.00$ 27,863.30

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