6-EXHIBIT D - Top 25 Providers.xlsx
XLSX spreadsheet 14 KB Posted
- 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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Other files
| File | Type | Posted |
|---|---|---|
| 4-EXHIBIT B - Current Census.xls | XLS spreadsheet | |
| 9-RFx - General Terms and Conditions.pdf | ||
| 7-EXHIBIT C - Past Three-Year Claims and Enrollment History.xlsx | XLSX spreadsheet | |
| 1-Scope of Services.pdf | ||
| 11-Conflict of Interest Statement Form.pdf | ||
| 8-Questionnaire.docx | DOCX document | |
| 5-EXHIBIT A - Current Plan Certificate.pdf | ||
| 2-EXHIBIT F - Current Schedule of Benefits.pdf | ||
| 3-EXHIBIT E - Current Rollover Balance.xlsx | XLSX spreadsheet | |
| 10-Vendor Information Form.pdf |
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Text version
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 Base | LOB | Billing Provider Number | Billing Provider Name | Rendering Provider Number | Rendering ProviderName | Specialty | Address1 | City | State | Zip | Tax ID | Par | |||
| Indicator | Claims Count | Procedure Code Count | Member Count | Charge Amount | Paid |
Claims
| 177L22 | FL Group | 1235500679 | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA | 1396108296 | POOJA B SANDESARA | Multi-Specialty | 4608 SW COLLEGE RD | OCALA | FL | 34474 | 200185918 | Contracted | 92 | 303 | 46 | $ 43,577.84 | $ 19,304.40 |
| 177L22 | FL Group | 1073867792 | COMFORTABLE CARE PA | 1295029973 | CHRISTOPHER A BONESTEEL | Multi-Specialty | 9590 SW 200 HWY | OCALA | FL | 34481 | 200185918 | Contracted | 96 | 243 | 41 | $ 43,830.33 | $ 15,514.50 |
| 177L22 | FL Group | 1861508467 | DANIEL JONES DDS | 1861508467 | JAMES D JONES | Orthodonticcs | 1500 SE 17TH ST STE 100 | OCALA | FL | 34471 | 270305503 | Contracted | 154 | 154 | 28 | $ 40,753.93 | $ 5,563.93 |
| 177L22 | FL Group | 1861508467 | DANIEL JONES DDS | 1861508467 | JAMES D JONES | Orthodonticcs | 1500 SE 17TH ST STE 100 | OCALA | FL | 34471 | 270305503 | NonContracted | 129 | 120 | 29 | $ 73,822.32 | $ 5,621.32 |
| 177L22 | FL Group | 1730254657 | DANIEL WALKUP DMD | 1730254657 | DANIEL H WALKUP | General Dentistry | 1630 SE 18TH ST BLDG 500 | OCALA | FL | 34471 | 593358049 | Contracted | 214 | 468 | 109 | $ 66,975.00 | $ 31,990.20 |
| 177L22 | FL Group | 1447709720 | EKADANTA DENTAL PLLC | 1447709720 | GAYATHRI RAJU | Pediatric Dentistry | 5330 SW COLLEGE RD STE 1 | OCALA | FL | 34474 | 862772344 | Contracted | 281 | 1081 | 142 | $ 147,520.00 | $ 36,284.28 |
| 177L22 | FL Group | 1538573019 | GHRM ASSOCIATES PLLC | 1538573019 | RAMY MOUSA | General Dentistry | 2843 SE 17TH ST | OCALA | FL | 34471 | 844271477 | Contracted | 106 | 279 | 64 | $ 23,372.00 | $ 15,818.10 |
| 177L22 | FL Group | 1033474176 | GRINS AND GIGGLES PEDIATRIC DENTISTRY LLC | 1033474176 | RONDA L MOORE | Pediatric Dentistry | 231 NW 137TH DR | JONESVILLE | FL | 32669 | 463595643 | Contracted | 96 | 324 | 50 | $ 35,399.00 | $ 12,959.00 |
| 177L22 | FL Group | 1447483524 | JACKSON & JOYCE FAMILY DENTISTRY LLP | 1093408312 | JESSE R LEBRECHT | General Dentistry | 1910 SE 18TH AVE | OCALA | FL | 34471 | 263835251 | Contracted | 386 | 779 | 165 | $ 120,724.00 | $ 63,817.73 |
| 177L22 | FL Group | 1447483524 | JACKSON & JOYCE FAMILY DENTISTRY LLP | 1164493078 | JOSEPH C JOYCE | General Dentistry | 1910 SE 18TH AVE | OCALA | FL | 34471 | 263835251 | Contracted | 472 | 1044 | 231 | $ 150,482.00 | $ 79,402.50 |
| 177L22 | FL Group | 1063567949 | LAWRENCE J SUTTON DDS PA | 1063567949 | LAWRENCE J SUTTON | General Dentistry | 2825 SE 17TH ST | OCALA | FL | 34471 | 593643669 | NonContracted | 123 | 278 | 59 | $ 46,499.00 | $ 19,073.99 |
| 177L22 | FL Group | 1336285600 | MARION DENTAL GROUP | 1821134107 | JAMES E EDWARDS | Multi-Specialty | 9277 SE MARICAMP RD | OCALA | FL | 34472 | 270728558 | Contracted | 91 | 212 | 62 | $ 24,453.00 | $ 10,452.50 |
| 177L22 | FL Group | 1336285600 | MARION DENTAL GROUP | 1659789600 | JOSEPH A SORRENTINO | Multi-Specialty | 9277 SE MARICAMP RD | OCALA | FL | 34472 | 270728558 | Contracted | 112 | 288 | 70 | $ 50,422.00 | $ 15,345.00 |
| 177L22 | FL Group | 1336285600 | MARION DENTAL GROUP | 1043835564 | MORGAN KUBIS | Multi-Specialty | 9277 SE MARICAMP RD | OCALA | FL | 34472 | 270728558 | Contracted | 127 | 248 | 74 | $ 53,162.00 | $ 14,642.00 |
| 177L22 | FL Group | 1336285600 | MARION DENTAL GROUP | 1497854871 | THOMAS K BAILEY | Multi-Specialty | 9277 SE MARICAMP RD | OCALA | FL | 34472 | 270728558 | Contracted | 139 | 342 | 99 | $ 35,688.00 | $ 16,146.60 |
| 177L22 | FL Group | 1477165587 | OCALA KIDS DENTISTRY PA | 1477165587 | DESIREE MCMILLEN | Pediatric Dentistry | 3235 SW 34TH ST STE 103 | OCALA | FL | Unkno | 994418753 | NonContracted | 80 | 375 | 40 | $ 21,353.34 | $ 9,961.68 |
| 177L22 | FL Group | 1063690709 | REED ORTHODONTICS PLLC | 1063690709 | JUDDSON R REED | General Dentistry | 2720 SE 17TH ST | OCALA | FL | 34471 | 261118812 | NonContracted | 83 | 78 | 11 | $ 33,174.69 | $ 4,029.49 |
| 177L22 | FL Group | 1871649103 | RONALD J ROZANSKI DMD | 1871649103 | RONALD J ROZANSKI | General Dentistry | 1500 SE 17TH ST STE 300 | OCALA | FL | 34471 | 264319163 | NonContracted | 150 | 201 | 96 | $ 49,685.00 | $ 22,296.43 |
| 177L22 | FL Group | 1669492732 | STEPHEN H LOFTIS DDS | 1669492732 | STEPHEN H LOFTIS | General Dentistry | 3423 E SILVER SPRINGS BLVD STE 6 | OCALA | FL | 34470 | 591613016 | Contracted | 72 | 128 | 33 | $ 13,709.00 | $ 7,609.80 |
| 177L22 | FL Group | 1053531095 | THE TOOTH SHOP OF OCALA LLC | 1053531095 | NILES A SYSKA | General Dentistry | 1226 SE 24TH RD | OCALA | FL | 34471 | 861961326 | Contracted | 218 | 571 | 78 | $ 93,330.00 | $ 31,520.60 |
| 177L22 | FL Group | 1902162027 | VENTURES OF NORTH CENTRAL FLORIDA LLC | 1528119203 | ALEESHA M FREIMUTH | General Dentistry | 2509 SE 17TH ST | OCALA | FL | 34471 | 455031707 | Contracted | 252 | 497 | 112 | $ 55,070.00 | $ 27,863.30 |
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