Dental
DRS Brock, Henderson, Di Prisco, Ravelo and Green INC
DRS Brock, Henderson, Di Prisco, Ravelo and Green INC was paid $179K by Medicaid between Nov 2023 and Nov 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 40% of everything it billed.
33Billing provider infoDRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
CHARLESTON, WV 25314
CHARLESTON, WV 25314
33aNPI1073211637assigned 02/22/2023
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$179K
24GClaims1,409
24DCodes billed6
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in West Virginia
Rank by total paid#13 of 19
Median peer was paid$467K
This provider vs. median0.4×
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.
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 | |
|---|---|---|---|
| 2023 | 12 | $359.00 | |
| 2024incomplete | 1,397 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 40% | 295 | 93 | $72K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 38% | 490 | 121 | $68K |
| D9222 | 13% | 183 | 179 | $24K | |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 242 | 237 | $9K |
| D0330 | Panoramic radiographic image | 2.1% | 79 | 77 | $4K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.5% | 120 | 116 | $3K |
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 officialCOYNER, LESLEY (ACCTS RECEIVABLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Huntington, WV | $2.15M |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Charleston, WV | $974K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Beckley, WV | $789K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Parkersburg, WV | $582K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Hurricane, WV | $534K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Charleston, WV | $467K |
| Indian Land Oral & Facial Surgery LLC | Fort Mill, SC | $20K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Beckley, WV | $18K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Princeton, WV | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.