Dental
Elite Dental LLC
Elite Dental LLC was paid $616K by Medicaid between Oct 2020 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoELITE DENTAL LLC
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
33aNPI1033614136assigned 03/29/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$616K
24GClaims28,036
24DCodes billed18
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#50 of 847
Median peer was paid$37K
This provider vs. median17×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KURAL, PHIL controls 11+ related entities in our dataset. Read more
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 | 836 | $22K | |
| 2021 | 2,029 | $45K | |
| 2023 | 809 | $14K | |
| 2024incomplete | 24,362 | $536K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 4,829 | 732 | $122K |
| D1110 | Prophylaxis - adult | 16% | 3,037 | 2,840 | $102K |
| D0274 | Bitewings - four radiographic images | 11% | 3,022 | 2,812 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 2,777 | 2,606 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 1,595 | 1,478 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 668 | 442 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 2,190 | 2,042 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,836 | 1,664 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 2,852 | 2,011 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 2,800 | 2,604 | $21K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 522 | 485 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 274 | 202 | $13K |
6 more codes
| D1206 | Topical application of fluoride varnish | 1.9% | 648 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 231 | $9K |
| D0272 | Bitewings - two radiographic images | 1.2% | 587 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 83 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 73 | $5K |
| D0270 | <1% | 12 | $94.24 |
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 officialKURAL, PHIL (DIRECTOR DOCTOR CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Dental Dreams PLLC | Washington, DC | $8.13M |
| Dental Dreams PLLC | Washington, DC | $8.04M |
| Dental Dreams PLLC | Washington, DC | $4.39M |
| Frank Von Westernhagen, LLC, Dba Healthy Smiles | Baton Rouge, LA | $2.57M |
| Elite Dental LLC | Philadelphia, PA | $1.25M |
| Dental Experts, PA | Dallas, TX | $1.24M |
| Elite Dental, LLC | Philadelphia, PA | $731K |
| Elite Dental, LLC | Philadelphia, PA | $538K |
| Elite Dental LLC | Lancaster, PA | $488K |
| Elite Dental LLC | Darby, PA | $406K |
| Dental Experts PA | Dallas, TX | $176.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.