Dental
Ellis, Crystal
Ellis, Crystal was paid $174K by Medicaid between Feb 2020 and Nov 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoELLIS, CRYSTAL
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
33aNPI1407022783assigned 05/06/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$174K
24GClaims4,271
24DCodes billed14
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#182 of 598
Median peer was paid$42K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 40 | $916.79 | |
| 2021 | 58 | $2K | |
| 2022 | 382 | $13K | |
| 2023 | 2,153 | $106K | |
| 2024incomplete | 1,638 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 337 | 123 | $43K |
| D1110 | Prophylaxis - adult | 20% | 563 | 543 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 617 | 603 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 743 | 725 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.8% | 91 | 31 | $15K |
| D0274 | Bitewings - four radiographic images | 7.0% | 533 | 520 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 145 | 140 | $8K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 149 | 144 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 507 | 486 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 110 | 110 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 364 | 360 | $3K |
| D0330 | Panoramic radiographic image | 1.3% | 50 | 50 | $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.