Elica Health Centers
Elica Health Centers was paid $650.36 by Medicaid between Nov 2022 and Nov 2024, across 14 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoELICA HEALTH CENTERS
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1154947711assigned 06/19/2020
33bProvider typeCase Manager/Care Coordinator
28Total paid$650.36
24GClaims2,080
24DCodes billed14
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#410 of 435
Median peer was paid$2.89M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 26 | $0.00 | |
| 2023 | 1,099 | $102.00 | |
| 2024incomplete | 955 | $548.36 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 138 | 136 | $330.03 |
| D1120 | Dental cleaning, childProphylaxis - child | 49% | 14 | 14 | $320.33 |
| D1330 | 0% | 262 | 258 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 155 | 152 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 217 | 212 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 66 | 18 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 23 | 12 | $0.00 |
| D4341 | 0% | 309 | 111 | $0.00 | |
| D4910 | 0% | 90 | 90 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 280 | 251 | $0.00 |
| D9430 | 0% | 203 | 189 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 94 | 90 | $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 officialBAK, TATYANA (CEO)
Parent organizationELICA HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Elica Health Centers | Sacramento, CA | $94.19M |
| Elica Health Centers | North Highlands, CA | $58.22M |
| Elica Health Centers | West Sacramento, CA | $42.65M |
| Elica Health Centers | West Sacramento, CA | $3.95M |
| Elica Health Centers | Sacramento, CA | $2K |
| Elica Health Centers | Sacramento, CA | $2K |
| Elica Health Centers | Sacramento, CA | $1K |
| Elica Health Centers | Sacramento, CA | $0.00 |
| Elica Health Centers | North Highlands, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.