Clinic
Lehky State Dental Providers, LLC
Lehky State Dental Providers, LLC was paid $318K by Medicaid between Jan 2023 and Nov 2024, across 20 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 35% of everything it billed.
33Billing provider infoLEHKY STATE DENTAL PROVIDERS, LLC
FAIRLAWN, OH 44333
FAIRLAWN, OH 44333
33aNPI1356066062assigned 10/05/2022
33bProvider typeDental Clinic/Center
28Total paid$318K
24GClaims4,568
24DCodes billed20
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#50 of 111
Median peer was paid$236K
This provider vs. median1.3×
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 | 696 | $18K | |
| 2024incomplete | 3,872 | $300K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 35% | 143 | 66 | $112K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 372 | 337 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 279 | 113 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 255 | 120 | $23K |
| D1110 | Prophylaxis - adult | 7.0% | 399 | 369 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 484 | 433 | $18K |
| D1321 | 4.2% | 516 | 479 | $13K | |
| D1320 | 4.2% | 521 | 480 | $13K | |
| D0470 | 3.6% | 359 | 326 | $11K | |
| D8670 | Periodic orthodontic treatment visit | 2.7% | 34 | 33 | $9K |
| D2950 | 2.0% | 48 | 26 | $6K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 159 | 156 | $5K |
8 more codes
| D0274 | Bitewings - four radiographic images | 1.4% | 119 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 35 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 379 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 28 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 63 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 255 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 71 | $2K |
| D1120 | Dental cleaning, child | <1% | 49 | $2K |
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 officialCREEK, TIFFANY (DIRECTOR)