Dental
Elite Dental LLC
Elite Dental LLC was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoELITE DENTAL LLC
PHILADELPHIA, PA 19133
PHILADELPHIA, PA 19133
33aNPI1124543368assigned 08/09/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$1.25M
24GClaims53,614
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#22 of 847
Median peer was paid$37K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2018 | 534 | $13K | |
| 2020 | 2,526 | $62K | |
| 2021 | 9,403 | $222K | |
| 2023 | 735 | $13K | |
| 2024incomplete | 40,416 | $941K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 9,099 | 1,648 | $245K |
| D1110 | Prophylaxis - adult | 15% | 5,312 | 5,092 | $184K |
| D0274 | Bitewings - four radiographic images | 9.7% | 4,573 | 4,388 | $121K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 5,065 | 4,849 | $99K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 3,227 | 3,072 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 4,361 | 4,164 | $82K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 1,287 | 674 | $75K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,273 | 545 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 830 | 451 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 2,626 | 2,432 | $48K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 5,995 | 4,693 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 5,644 | 5,349 | $44K |
8 more codes
| D0140 | Limited oral evaluation - problem focused | 2.7% | 801 | $34K |
| D1206 | Topical application of fluoride varnish | 2.5% | 1,795 | $32K |
| D0272 | Bitewings - two radiographic images | 1.1% | 944 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 313 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 104 | $6K |
| D2331 | <1% | 24 | $1K | |
| D2330 | <1% | 24 | $1K | |
| D1999 | 0% | 317 | $0.00 |
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 |
| Dental Experts, PA | Dallas, TX | $1.24M |
| Elite Dental, LLC | Philadelphia, PA | $731K |
| Elite Dental LLC | Philadelphia, PA | $616K |
| 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.