Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Gaffney › NPI 1457080434
Dental

Price, Elyse

Price, Elyse was paid $263K by Medicaid between May 2023 and Dec 2024, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 29% of everything it billed.

33Billing provider infoPRICE, ELYSE
GAFFNEY, SC 29340
33aNPI1457080434assigned 06/06/2022
33bProvider typeDentist
28Total paid$263K
24GClaims6,975
24DCodes billed12
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

Next to other Dentist providers in South Carolina

Rank by total paid#49 of 166
Median peer was paid$67K
This provider vs. median3.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20232,984$93K
2024incomplete3,991$169K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2391 Resin-based composite - one surface, posterior, primary or permanent 29% 670 243 $75K
D1110 Prophylaxis - adult 15% 779 779 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 1,225 1,225 $30K
D1208 Topical application of fluoride, excluding varnish 9.2% 1,417 1,417 $24K
D1120 Dental cleaning, childProphylaxis - child 8.5% 626 626 $22K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6.0% 478 450 $16K
D0274 Bitewings - four radiographic images 5.8% 524 524 $15K
D0330 Panoramic radiographic image 4.8% 239 239 $13K
D0272 Bitewings - two radiographic images 4.8% 649 649 $13K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 183 183 $8K
D0140 Limited oral evaluation - problem focused 1.9% 137 137 $5K
D0220 Intraoral - periapical first radiographic image <1% 48 45 $598.50

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.