Atch2_PPOReport_ClaimsHistory.xlsx
XLSX spreadsheet 29 KB Posted
- Attached to
- Dental Insurance Benefits Services Federal contract opportunity
- Solicitation number
- CFP-15-Q-00054
- Issued by
- Consumer Financial Protection Bureau
About this file
Attachment 2_ProviderList
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CFPB-15-Q-00054_02_Atch2.xlsx | XLSX spreadsheet | |
| CFP-15-Q-00054_Amend02.pdf | ||
| Atch1_DentalPlanCertificate.pdf | ||
| CFP-1Q-00054_Amend01.pdf | ||
| CFP-15-Q-00054_Dental.pdf |
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Text version
Top 100 dental Providers
| Consumer Financial Protection Bureau-Top 100 Dentists | |||||||||||
| TAX ID | FIRST NM | LAST NM | STREET | CITY | ST | ZIP | SPECIALTY | Claimant Count | Claim Count | Charges | In Network Y/N |
| 2461112436 | AROUSHA | JAHANGIRI | ADVANCED COSMETIC DENTISTRY ; 1145 19TH ST NW STE 512 | WASHINGTON | DC | '20036 | GENERAL DENTIST | 23 | 31 | $ 22,813.00 | |
| 2205639114 | SHEILA | SAMADDAR | SOUTH CAPITOL SMILE CENTER LLC ; 1313 S CAPITOL ST SW | WASHINGTON | DC | '20003 | GENERAL DENTIST | 16 | 21 | $ 15,503.00 | |
| 2841600989 | JONATHAN | HILL | JONATHAN W HILL DDS PC ; 4711 OPUS DR STE 120 | COLORADO SPRINGS | CO | '80906 | GENERAL DENTIST | 12 | 17 | $ 14,705.00 | |
| 2364623467 | JAMES | RYAN | ROBERT W EMERY DDS PLLC ; 2311 M ST NW STE 200 | WASHINGTON | DC | '20037 | ORAL SURGEON | 6 | 10 | $ 13,982.00 | |
| 2272959789 | PETER | LIAROS | PERIODONTAL & IMPLANT ; 6715 W ARCHER AVE | CHICAGO | IL | '60638 | GENERAL DENTIST | 1 | 4 | $ 13,098.00 | |
| 2562665237 | MICHELLE | VILLANUEVA | DIVINE DENTAL CARE LLC ; 21321 E OCOTILLO RD STE 112 | QUEEN CREEK | AZ | '85142 | GENERAL DENTIST | 3 | 9 | $ 11,950.00 | |
| 2521364763 | NEIL | STARR | NEIL L STARR DDS PC ; 1234 19TH ST NW STE 306 | WASHINGTON | DC | '20036 | PROSTHODONTIST | 3 | 3 | $ 11,600.00 | |
| 2800555494 | ROBERT | LUBAR | DDS SPECIALTY LLC ; 1061 S ROSELLE RD | SCHAUMBURG | IL | '60193 | ORAL SURGEON | 2 | 3 | $ 11,162.00 | |
| 2043403057 | GERARDO | CASAZZA | GERRY J CASAZZA DMD & ASSOC INC ; 968 MAIN ST | WAKEFIELD | MA | '01880 | GENERAL DENTIST | 4 | 4 | $ 10,913.00 | |
| 2455560038 | STEVE | HAHN | MIDTOWN ATLANTA DENTAL PC ; 900 PEACHTREE ST NE STE 100A | ATLANTA | GA | '30309 | PROSTHODONTIST | 1 | 1 | $ 10,575.00 | |
| 2521224426 | MICHAEL | KATSAROS | WASHINGTON CENTER FOR DENTISTRY ; 1430 K ST NW FL 8 | WASHINGTON | DC | '20005 | GENERAL DENTIST | 6 | 11 | $ 9,895.00 | |
| 2541876636 | WILLIAM | THORNTON | MARK STANLEY RUSK DDS ; 818 18TH ST NW STE 200 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 35 | 54 | $ 8,737.00 | |
| 2200681235 | GILDO | CORRADI | OFFICE JOHN PFAIL GILDO CORRADI ; 200 W 57TH ST STE 1405 | NEW YORK | NY | '10019 | GENERAL DENTIST | 7 | 10 | $ 8,375.00 | |
| 2541922106 | DANIEL | CASSIDY | DANIEL E CASSIDY DDS ; 2835 DUKE ST | ALEXANDRIA | VA | '22314 | GENERAL DENTIST | 1 | 2 | $ 8,371.00 | |
| 2521765124 | CHRISTINA | MILLS | CHRISTINA MILLS DDS ; 1712 I ST NW STE 800 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 14 | 21 | $ 8,100.00 | |
| 2201105222 | ARJANG | RAOUFINIA | ARJANG RAOUFINIA DDS PC ; 3801 FAIRFAX DR STE 70 | ARLINGTON | VA | '22203 | GENERAL DENTIST | 6 | 8 | $ 7,880.00 | |
| 2460561999 | JUSTIN | DUGAS | DUGAS DENTAL INC ; 27 NEVERLAND DR | LEWIS CENTER | OH | '43035 | GENERAL DENTIST | 8 | 10 | $ 7,670.00 | |
| 2161756428 | NADINE | SOGA | NADINE SOGA DMD ; 1234 19TH ST NW STE 710 | WASHINGTON | DC | '20036 | GENERAL DENTIST | 11 | 15 | $ 7,600.00 | |
| 1142807330 | BRIAN | LAURENCE | BRIAN LAURENCE DDS ; 1712 I ST NE STE 800 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 7 | 11 | $ 7,397.00 | |
| 2113576939 | SASSAN | RASTEGAR | 340 MADISON AVE RM 4B | NEW YORK | NY | '10173 | GENERAL DENTIST | 2 | 4 | $ 7,164.00 | |
| 2521263426 | HARVEY | LEVIN | HARVEY M LEVIN DDS ; 1712 I ST NW STE 802 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 4 | 8 | $ 7,043.00 | |
| 2542163175 | WANDA | DAVIDSON | DAVIDSON DENTAL ASSOC PLLC ; 1990 K ST NW STE 15B | WASHINGTON | DC | '20006 | GENERAL DENTIST | 7 | 12 | $ 7,016.00 | |
| 2752622808 | JOHN | GARZA | 3100 FM 2920 RD | SPRING | TX | '77388 | GENERAL DENTIST | 5 | 8 | $ 6,966.00 | |
| 2300140799 | HAMID | ATABAKHSH | HAMID ATABAKHSH DDS MS ; 2525 LOUETTA RD STE 101 | SPRING | TX | '77388 | PERIODONTIST | 2 | 3 | $ 6,605.00 | |
| 2542006527 | ALEXANDER | OSINOVSKY | ALEXANDER OSINOVSKY DDS PC ; 8230 BOONE BLVD STE 410 | VIENNA | VA | '22182 | GENERAL DENTIST | 3 | 10 | $ 6,521.00 | |
| 2800132379 | CARLOS | ABREU | DR CARLOS & MAHVASSAH ABREAU PC ; 1712 I ST NW STE 906 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 4 | 5 | $ 6,490.00 | |
| 2431653349 | CHRISTOPHER | GUILFOY | 12101 TESSON FERRY PROFESSIONAL | SAINT LOUIS | MO | '63128 | GENERAL DENTIST | 8 | 13 | $ 6,476.00 | |
| 2462571158 | HEMAKISHORE | CHAPALA | COMFORT SMILES PLLC ; 216 DALTON DR | DESOTO | TX | '75115 | GENERAL DENTIST | 3 | 3 | $ 6,446.00 | |
| 2521035268 | CHARLES | PORVAZNIK | KENNETH A INGBER DMD PC ; 2021 K ST NW STE 720 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 10 | 16 | $ 6,275.00 | |
| 2464257066 | JOHN | TSAKNIS | DENTALBUG ; 703 D ST NW | WASHINGTON | DC | '20004 | PERIODONTIST | 6 | 8 | $ 6,239.00 | |
| 2203698865 | ALAN | KUWABARA | ALAN K KUWABARA DDS PLLC ; 5028 WISCONSIN AVE NW STE 200 | WASHINGTON | DC | '20016 | PEDIATRIC | 17 | 27 | $ 6,184.00 | |
| 2521954935 | HYMAN | GROSBERG | HYMAN J GROSBERG DDS ; 13034 OLD COLUMBIA PIKE | SILVER SPRING | MD | '20904 | GENERAL DENTIST | 5 | 14 | $ 6,117.00 | |
| 2270100321 | JASON | FAVAGEHI | JASON FARR FAVAGEHI DDS PC ; 1000 WILSON BLVD STE M745 | ROSSLYN | VA | '22209 | GENERAL DENTIST | 5 | 11 | $ 6,114.00 | |
| 2208877366 | ANNAH | TRAN | FAIR LAKES FAMILY & COSMETIC DEN ; 12110 MONUMENT DR STE A | FAIRFAX | VA | '22033 | GENERAL DENTIST | 2 | 7 | $ 6,105.00 | |
| 2521615903 | NADER | REZVANI | NADER REZVANI DDS PC ; 908 NEW HAMPSHIRE AVE NW STE 301 | WASHINGTON | DC | '20037 | PEDIATRIC | 13 | 21 | $ 6,101.00 | |
| 2462101509 | LYNN | FARREY | YAK ARLINGTON PC ; 2250 CLARENDON BLVD STE F | ARLINGTON | VA | '22201 | GENERAL DENTIST | 5 | 5 | $ 6,018.00 | |
| 2521095730 | STACEY | RUSSELL | CHESKIS HOOPER SCHATZ ; 22 TRUCK HOUSE RD | SEVERNA PARK | MD | '21146 | GENERAL DENTIST | 5 | 13 | $ 6,011.00 | |
| 2364328401 | ROBERT | SKOPEK | ROBERT J SKOPEK DDS MS ; 110 S WYNSTONE PARK DR STE 102 | N BARRINGTON | IL | '60010 | ORTHODONTIST | 1 | 1 | $ 5,930.00 | |
| 2364336345 | ALPHONSE | GARGIULO | ORLAND PARK DENTAL SPECIALIS ; 9535 W 144TH PL | ORLAND PARK | IL | '60462 | PERIODONTIST | 2 | 2 | $ 5,880.00 | |
| 2204533547 | YELENA | OBHOLZ | YELENA A OBHOLZ DDS PLLC ; 3201 NEW MEXICO AVE NW STE 230 | WASHINGTON | DC | '20016 | GENERAL DENTIST | 5 | 11 | $ 5,858.00 | |
| 2263833168 | MARIA | HAYES | ALLURING SMILES ; 204 MAIN ST | GAITHERSBURG | MD | '20878 | GENERAL DENTIST | 1 | 2 | $ 5,604.00 | |
| 2521990783 | LEONARD | GOLDMAN | LEONARD J GOLDMAN DDS PA ; 12510 PROSPERITY DR STE 250 | SILVER SPRING | MD | '20904 | ORAL SURGEON | 2 | 4 | $ 5,600.00 | |
| 2521995207 | RICARDO | PEREZ | RICARDO PEREZ DDS PC ; 5530 WISCONSIN AVE STE 1230 | CHEVY CHASE | MD | '20815 | PEDIATRIC | 13 | 13 | $ 5,599.00 | |
| 2201823078 | IVELISSE | CUEVAS | IVELISSE CUEVAS DDS ; 10215 FERNWOOD RD STE 415 | BETHESDA | MD | '20817 | GENERAL DENTIST | 10 | 11 | $ 5,592.00 | |
| 2522122299 | PAUL | LAROSE | BERNARD A FITZMORRIS DDS PC ; 1634 I ST NW STE 404 | WASHINGTON | DC | '20006 | DENTAL HYGIENIST; X-RAY LAB; OR UNKNOWN | 8 | 18 | $ 5,486.00 | |
| 2541876636 | MARK | RUSK | MARK STANLEY RUSK DDS ; 818 18TH ST NW STE 200 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 27 | 43 | $ 5,476.00 | |
| 2521674210 | NORMAN | BOUCHARD | CAPITOL HILL DENTAL GROUP ; 412 1ST ST SE | WASHINGTON | DC | '20003 | GENERAL DENTIST | 5 | 12 | $ 5,455.00 | |
| 2203386553 | FRANCESCA | BURTON | FRANCESCA BURTON FAMILY ANC COSM ; 1900 ELKIN ST STE 290 | ALEXANDRIA | VA | '22308 | GENERAL DENTIST | 10 | 13 | $ 5,425.00 | |
| 2541923872 | HAROLD | FRANK | HAROLD L FRANK DDS PC ; 200 N GLEBE RD | ARLINGTON | VA | '22203 | ORTHODONTIST | 2 | 2 | $ 5,400.00 | |
| 2453909507 | SANG-HOO | PARK | NICE SMILE DENTISTRY PC ; 2021 K ST NW STE 103 | WASHINGTON | DC | '20006 | PERIODONTIST | 1 | 1 | $ 5,400.00 | |
| 2263957180 | DONNA | REID | EXQUISTE DENTAL CARE ; 300 N WASHINGTON ST STE 210 | ALEXANDRIA | VA | '22314 | GENERAL DENTIST | 4 | 4 | $ 5,345.00 | |
| 2460671586 | HERBERT | FOSTER | H BRANDT FOSTER DDS ; 4702 CHEVY CHASE DR | CHEVY CHASE | MD | '20815 | GENERAL DENTIST | 6 | 9 | $ 5,340.00 | |
| 2521929417 | RANDALL | WONG | RANDALL E WONG DDS ; 1601 18TH ST NW STE 3 | WASHINGTON | DC | '20009 | GENERAL DENTIST | 4 | 11 | $ 5,255.00 | |
| 2593508140 | FRANK | CERRA | COAST DENTAL PA ; 1329 E TENNESSEE ST | TALLAHASSEE | FL | '32308 | GENERAL DENTIST | 2 | 3 | $ 5,081.00 | |
| 2464256851 | JOHN | TSAKNIS | DENTALBUG ; 1221 MASSACHUSETTS AVE NW | WASHINGTON | DC | '20005 | PERIODONTIST | 11 | 14 | $ 5,003.00 | |
| 2800897485 | DANA | GREENWALD | DENTISTRY FOR CHILDREN ; 5225 WISCONSIN AVE NW STE 604 | WASHINGTON | DC | '20015 | PEDIATRIC | 11 | 13 | $ 4,971.00 | |
| 2521759816 | MARK | GREENSTEIN | WILLARD COX & MARK GREENSTEIN PA ; 7905 MALCOLM RD STE 104 | CLINTON | MD | '20735 | GENERAL DENTIST | 8 | 8 | $ 4,934.00 | |
| 2203021577 | SUNMIN | PARK | SUNMIN PARK DDS PC ; 1515 CHAIN BRIDGE RD STE 304 | MCLEAN | VA | '22101 | GENERAL DENTIST | 2 | 7 | $ 4,930.00 | |
| 2260214267 | RYAN | CAUDILL | 385 PINEDA CT STE 100 | MELBOURNE | FL | '32940 | ORTHODONTIST | 1 | 1 | $ 4,925.00 | |
| 2541810546 | LEZLEY | MCILVEEN | DRS MCILVEEN & FREEDMAN DDS PC ; 131 ELDEN ST STE 130 | HERNDON | VA | '20170 | PEDIATRIC | 16 | 17 | $ 4,916.00 | |
| 2521000421 | JEFFREY | GITELMAN | JEFFREY GITELMAN DDS PC ; 1234 19TH ST NW STE 508 | WASHINGTON | DC | '20036 | ORAL SURGEON | 4 | 5 | $ 4,898.00 | |
| 2521263679 | ROBERT | MANTONI | ROBERT R MANTONI DDS PA ; 8757 GEORGIA AVE STE 530 | SILVER SPRING | MD | '20910 | GENERAL DENTIST | 10 | 21 | $ 4,879.00 | |
| 2680642825 | PHILIP | BROWN | PHILIP K BROWN DDS PA ; 4775 W PANTHER CREEK DR # B265 | THE WOODLANDS | TX | '77381 | GENERAL DENTIST | 1 | 3 | $ 4,878.00 | |
| 2102607931 | OLWYN | DIAMOND | OLWYN DIAMOND DDS ; 2835 SMITH AVE STE B | BALTIMORE | MD | '21209 | GENERAL DENTIST | 2 | 4 | $ 4,842.00 | |
| 2542163175 | JENNIFER | GRIFFIN | DAVIDSON DENTAL ASSOC PLLC ; 1990 K ST NW STE 15B | WASHINGTON | DC | '20006 | ORAL SURGEON | 2 | 2 | $ 4,840.00 | |
| 2273834990 | DAVID | TOBIAS | DAVID S TOBIAS DDS PS ; 19514 64TH AVE W STE A | LYNNWOOD | WA | '98036 | GENERAL DENTIST | 4 | 10 | $ 4,815.00 | |
| 2263800267 | JIMANI | MWENDO | NEIBAUER DENTAL CARE PC ; 8626 RICHMOND HWY | ALEXANDRIA | VA | '22309 | GENERAL DENTIST | 1 | 1 | $ 4,766.00 | |
| 2201990392 | DEEPA | SUBRAMANIAN | HEARTLAND DENTAL CARE OF VIR ; 11670 SUDLEY MANOR DR | MANASSAS | VA | '20109 | GENERAL DENTIST | 3 | 4 | $ 4,732.00 | |
| 2134148576 | MARC | LIECHTUNG | M MARC LIECHTUNG DMD ; 1995 BROADWAY STE 200 | NEW YORK | NY | '10023 | GENERAL DENTIST | 5 | 9 | $ 4,703.00 | |
| 2522300120 | RICHARD | LIPSCOMB | RICHARD LIPSCOMB JR DDS PC ; 11721 WOODMORE RD STE 150 | MITCHELLVILLE | MD | '20721 | GENERAL DENTIST | 5 | 10 | $ 4,621.00 | |
| 2522256432 | PARVIN | MADANI | P ROYA MADANI DDS PA ; 338 N CHARLES ST | BALTIMORE | MD | '21201 | GENERAL DENTIST | 5 | 12 | $ 4,562.00 | |
| 2541150532 | ROHINI | BANAVAR | HOWARD HOFFMAN DDS LTD ; 9661 C MAIN ST | FAIRFAX | VA | '22031 | GENERAL DENTIST | 1 | 1 | $ 4,488.00 | |
| 2611192312 | KATHY | SLAUGHTER | SLAUGHTER & SLAUGHTER DMD ; 2018 BROADWAY ST | PADUCAH | KY | '42001 | GENERAL DENTIST | 1 | 1 | $ 4,480.00 | |
| 2272923715 | MARTHA | VILLASENOR | KATY DENTAL INC ; 3510 HOBSON RD STE 302 | WOODRIDGE | IL | '60517 | GENERAL DENTIST | 2 | 3 | $ 4,474.00 | |
| 2550810966 | WAYNE | HICKORY | WAYNE HICKORY DMD PLLC ; 2132 R ST NW | WASHINGTON | DC | '20008 | ORTHODONTIST | 2 | 3 | $ 4,439.00 | |
| 2861094805 | EVERETT | SCHNEIDER | EVERETT SCHNEIDER DDS PLLC ; 1712 I ST NW STE 1000 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 5 | 10 | $ 4,410.00 | |
| 2731642618 | TIFFANIE | WINFREY | HLW WINFREY CONSULTING PA ; 13900 LAUREL LAKES AVE STE 200 | LAUREL | MD | '20707 | GENERAL DENTIST | 3 | 10 | $ 4,403.00 | |
| 2134085518 | ALEKSANDR | DAYANAYEV | STEINWAY FAMILY DENTAL CNTR LLP ; 3250 STEINWAY ST | ASTORIA | NY | '11103 | GENERAL DENTIST | 1 | 2 | $ 4,370.00 | |
| 1277508356 | FRANK | CORDRAY | FRANK CORDRAY JR DDS ; 96 NORTHWOODS BLVD | COLUMBUS | OH | '43235 | ORTHODONTIST | 1 | 2 | $ 4,336.00 | |
| 2942393029 | FILIPPO | CANGINI | STEVEN K OLSEN DDS PC ; 2 EMBARCADERO CTR | SAN FRANCISCO | CA | '94111 | PERIODONTIST | 1 | 1 | $ 4,320.00 | |
| 2562329252 | RANDALL | BLAZIC | PALM VALLEY ORAL & MAXILLOFA ; 1646 N LITCHFIELD RD STE 130 | GOODYEAR | AZ | '85395 | ORAL SURGEON | 2 | 3 | $ 4,317.00 | |
| 2521294328 | THOMAS | WALL | THOMAS M WALL DDS PC ; 1712 I ST NW STE 404 | WASHINGTON | DC | '20006 | GENERAL DENTIST | 1 | 7 | $ 4,276.00 | |
| 2721037354 | JAMES | MCCORMICK | JAMES R MCCORMICK DDS ; 2900 HIGHWAY 80 | HAUGHTON | LA | '71037 | GENERAL DENTIST | 2 | 4 | $ 4,253.00 | |
| 2752882592 | RAYMOND | WHITE | COSMETIC DENTAL ARTS ; 1422 MAIN ST STE 262 | SOUTHLAKE | TX | '76092 | GENERAL DENTIST | 14 | 14 | $ 4,209.00 | |
| 2540941874 | KIM | LEAVENWORTH | JON W WILLIAMS JR DDS LTD ; 5969 TELEGRAPH RD | ALEXANDRIA | VA | '22310 | GENERAL DENTIST | 3 | 7 | $ 4,207.00 | |
| 2273500940 | ANDREW | COX | ANDREW R COX DDS PC ; 107 GLEN OAK BLVD STE 102 | HENDERSONVILLE | TN | '37075 | ORAL SURGEON | 2 | 11 | $ 4,138.00 | |
| 2521858473 | JOHN | CORRIGAN | JOHN F CONAGHAN DDS PC ; 8218 WISCONSIN AVE STE 317 | BETHESDA | MD | '20814 | GENERAL DENTIST | 5 | 9 | $ 4,135.00 | |
| 2450504438 | RICHARD | PAPP | RICHARD D PAPP DDS PC ; 3903 FAIR RIDGE DR STE 214 | FAIRFAX | VA | '22033 | GENERAL DENTIST | 5 | 7 | $ 4,135.00 | |
| 2271423053 | ALFONSO | PATRON | ALFONSO PATRON DDS PLLC ; 1600 WILSON BLVD STE 960 | ARLINGTON | VA | '22209 | PERIODONTIST | 1 | 2 | $ 4,130.00 | |
| 2112337757 | BARRY | BASS | PLAINVIEW ORAL & MAXILL ASSOC PC ; 1181 OLD COUNTRY RD STE 4 | PLAINVIEW | NY | '11803 | ORAL SURGEON | 1 | 2 | $ 4,120.00 | |
| 2602320531 | CECILIA | YKEDA | CECILIA YKEDA DDS MS ; 8342 TRAFORD LN | SPRINGFIELD | VA | '22152 | GENERAL DENTIST | 11 | 21 | $ 4,103.00 | |
| 2263893602 | ZIA | AHMADZADA | 5103 WESTFIELDS BLVD | CENTREVILLE | VA | '20120 | GENERAL DENTIST | 8 | 10 | $ 4,103.00 | |
| 2202790855 | LEONARD | JONES | LEONARD A JONES JR DDS PC ; 5631 BURKE CENTRE PKWY STE M | BURKE | VA | '22015 | GENERAL DENTIST | 5 | 13 | $ 4,096.00 | |
| 2521580294 | RONALD | LEVINE | RONALD E LEVINE DDS ; 19505 DOCTORS DR | GERMANTOWN | MD | '20874 | DENTAL HYGIENIST; X-RAY LAB; OR UNKNOWN | 1 | 7 | $ 4,065.00 | |
| 2541097027 | RICHARD | TAMI | RICHARD G TAMI DDS PC ; 2200 OPITZ BLVD STE 205 | WOODBRIDGE | VA | '22191 | PERIODONTIST | 4 | 5 | $ 4,040.00 | |
| 2911594084 | ROBERT | TANNER | ROBERT E TANNER DDS ; 22516 SE 64TH PL STE 120 | ISSAQUAH | WA | '98027 | GENERAL DENTIST | 7 | 17 | $ 4,004.00 | |
| 2521650031 | GERARD | BOQUEL | GERARD BOQUEL DDS ; 1350 CONNECTICUT AVE NW STE 305 | WASHINGTON | DC | '20036 | PERIODONTIST | 4 | 4 | $ 3,972.00 | |
| 2521910382 | CLINTON | TULL | TULL & BEHLING ; 1507 RITCHIE HWY STE 201 | ARNOLD | MD | '21012 | PEDIATRIC | 1 | 2 | $ 3,960.00 | |
| 2521970954 | AKRAM | SHOUHAYIB | K STREET ORTHODONTICS GROUP PC ; 3 WASHINGTON CIR NW STE 306 | WASHINGTON | DC | '20037 | ORTHODONTIST | 7 | 10 | $ 3,945.00 | |
| 2752323344 | JOHN | SHROYER | JOHN V SHROYER DDS PC ; 2712 MATLOCK RD | ARLINGTON | TX | '76015 | ORAL SURGEON | 4 | 4 | $ 3,940.00 |
Dental PVC Consumer Financial Protection Bureau-Claims Experience
| Dental-All | ||
| Date | Premium Billed | Claims Paid |
| 2012-03 | $ 58,920.79 | $36,561.10 |
| 2012-04 | $ 60,674.61 | $28,295.05 |
| 2012-05 | $ 98,288.66 | $40,897.74 |
| 2012-06 | $ 68,445.47 | $34,460.60 |
| 2012-07 | $ 69,865.75 | $34,301.27 |
| 2012-08 | $ 89,326.12 | $38,483.10 |
| 2012-09 | $ 92,255.56 | $34,548.20 |
| 2012-10 | $ 143,506.79 | $46,561.70 |
| 2012-11 | $ 99,756.08 | $52,400.60 |
| 2012-12 | $ 155,752.60 | $60,228.46 |
| 2013-01 | $ 98,302.06 | $59,779.50 |
| 2013-02 | $ 100,834.60 | $61,723.76 |
| 2013-03 | $ 103,742.93 | $72,197.88 |
| 2013-04 | $ 105,248.76 | $82,767.30 |
| 2013-05 | $ 107,448.70 | $69,137.80 |
| 2013-06 | $ 108,846.85 | $79,911.97 |
| 2013-07 | $ 109,597.77 | $69,215.99 |
| 2013-08 | $ 111,871.11 | $63,270.40 |
| 2013-09 | $ 113,890.18 | $62,986.69 |
| 2013-10 | $ 173,032.24 | $76,221.77 |
| 2013-11 | $ 118,072.21 | $76,114.98 |
| 2013-12 | $ 118,583.63 | $85,372.50 |
| 2014-01 | $ 114,806.78 | $84,787.22 |
| 2014-02 | $ 106,302.00 | $85,422.73 |
| 2014-03 | $ 106,516.95 | $84,529.10 |
| 2014-04 | $ 107,032.13 | $93,032.08 |
| 2014-05 | $ 106,956.49 | $97,516.40 |
| 2014-06 | $ 107,837.69 | $86,166.51 |
| 2014-07 | $ 107,811.63 | $82,142.55 |
| 2014-08 | $ 108,845.91 | $77,724.41 |
| 2014-09 | $ 163,860.93 | $83,290.23 |
| 2014-10 | $ 110,801.49 | $80,296.04 |
| 2014-11 | $ 111,154.48 | $66,081.48 |
| 2014-12 | $ 168,669.61 | $87,980.88 |
| 2015-01 | $ 102,482.62 | $102,389.69 |
| 2015-02 | $ 104,168.74 | $104,317.02 |
| $ 3,933,510.92 | $ 2,481,114.70 |
RFQ CFP-15-Q-00030
Atch 4 Dental Insurance Benefits
Procedure Type
| Consumer Financial Protection Bureau-Claims by Procedure Type |
| From 1/1/2014 to 12/31/2014 |
| Procedure Type | Paid Procedure Count | Benefits Paid |
| Periodic Exam (ADA code 120) | 2,360 | $ 95,239 |
| Adult Prophylaxis (code 1110) | 2,184 | $ 169,982 |
| Preventive (except code 1110) | 1,163 | $ 57,195 |
| Diagnostic (except code 120) | 3,092 | $ 145,907 |
| Restorative, Basic | 1,185 | $ 112,909 |
| Restorative, Major | 398 | $ 142,390 |
| Endodontics | 113 | $ 54,735 |
| Oral Surgery | 398 | $ 53,749 |
| Periodontics | 272 | $ 44,836 |
| Prosthodontics, Fixed | 30 | $ 12,862 |
| Prosthodontics, Removable | 9 | $ 3,946 |
| Implant Services | 75 | $ 42,407 |
| Adjunctive General Services | 131 | $ 13,188 |
| Initial Ortho Workup (code 8999) | 13 | $ 2,355 |
| Repetitive Orthodontics | 714 | $ 59,418 |
| Tax | 1 | $ 9 |
| Total | 12,138 | $ 1,011,127 |
RFQ CFP-15-Q-00030
Atch 4 Dental Insurance Benefits
Dental Census To be provided by CFPB
File details come from the government source that posted it. Updated .