Dental
Elavia, Upali
Elavia, Upali was paid $545K by Medicaid between May 2022 and Nov 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoELAVIA, UPALI
UNION GROVE, WI 53182
UNION GROVE, WI 53182
33aNPI1174008965assigned 09/27/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$545K
24GClaims15,817
24DCodes billed22
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#38 of 208
Median peer was paid$26K
This provider vs. median21×
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 | 4,088 | $122K | |
| 2023 | 9,284 | $328K | |
| 2024incomplete | 2,445 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,081 | 2,073 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,771 | 2,756 | $78K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 791 | 660 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 2,007 | 1,997 | $53K |
| D1351 | Sealant - per tooth | 8.3% | 541 | 386 | $45K |
| D0274 | Bitewings - four radiographic images | 6.6% | 1,830 | 1,822 | $36K |
| D4341 | 6.4% | 210 | 152 | $35K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 299 | 269 | $28K |
| D1110 | Prophylaxis - adult | 4.7% | 532 | 532 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 892 | 892 | $23K |
| D0330 | Panoramic radiographic image | 3.6% | 715 | 711 | $19K |
| D9110 | 2.2% | 220 | 214 | $12K |
10 more codes
| D4342 | 1.7% | 80 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 197 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,141 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 853 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 550 | $5K |
| D2740 | Crown - porcelain/ceramic | <1% | 14 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $2K |
| D2332 | <1% | 15 | $1K | |
| D4910 | <1% | 13 | $842.20 | |
| D9630 | <1% | 36 | $799.00 |
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.