Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DANVILLE PEDS DRE LLC

NPI: 1265207633 · DANVILLE, KY 40422 · Pediatric Dentist · NPI assigned 11/16/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAVIS, ELIZABETH controls 20+ related entities in our dataset. Read more

$361K
Total Medicaid Paid
10,460
Total Claims
9,209
Beneficiaries
18
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date11/16/2023

Related Entities

Other providers sharing the same authorized official: DAVIS, ELIZABETH

ProviderCityStateTotal Paid
GERIATRIC SERVICES, INC. TEANECK NJ $5.89M
GERIATRIC LIVING SOLUTIONS, INC. TEANECK NJ $4.34M
CENTRAL KENTUCKY SEDATION PLLC LEXINGTON KY $1.37M
ETOWN DENTISTRY DRE LLC ELIZABETHTOWN KY $690K
WISE DENTISTRY DRE LLC CAMPBELLSVILLE KY $411K
KENTUCKIANA PEDS DRE LLC MT WASHINGTON KY $373K
GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY LIBERTY NY $343K
PDOS DRE LLC SHELBYVILLE KY $323K
BARNHILL PEDS DRE LLC CORBIN KY $265K
BEAUMONT KIDS DRE LLC LEXINGTON KY $175K
PDOW DRE LLC WINCHESTER KY $145K
CRISP DRE LLC WINCHESTER KY $142K
LIZ DAVIS LPC LLC STAMFORD CT $119K
THRIVE WELLNESS, LLC DURANGO CO $118K
MAIN STREET FAMILY MEDICAL, LLC SPIRO OK $115K
BLUEGRASS PEDS DRE LLC RICHMOND KY $114K
DFC DRE LLC LEXINGTON KY $84K
KBD KIDS DRE LLC LONDON KY $72K
MOREHEAD PEDS DRE LLC MOREHEAD KY $61K
MT STERLING PEDS DRE LLC MT STERLING KY $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 10,460 $361K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,768 1,723 $105K
D1206 Topical application of fluoride varnish 2,014 1,968 $37K
D0150 Comprehensive oral evaluation - new or established patient 1,177 1,154 $35K
D0272 Bitewings - two radiographic images 1,574 1,546 $29K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 384 200 $25K
D0120 Periodic oral evaluation - established patient 867 841 $23K
D0330 Panoramic radiographic image 440 430 $22K
D1351 Sealant - per tooth 737 182 $17K
D2930 Prefabricated stainless steel crown - primary tooth 136 52 $15K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 403 381 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 191 110 $11K
D1110 Prophylaxis - adult 161 158 $10K
D9248 79 75 $8K
D0220 Intraoral - periapical first radiographic image 248 228 $3K
D7140 Extraction, erupted tooth or exposed root 45 35 $2K
D0230 Intraoral - periapical each additional radiographic image 197 99 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 22 13 $2K
D0140 Limited oral evaluation - problem focused 17 14 $659.99