Medicaid Provider Spending

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

PDOW DRE LLC

NPI: 1457126674 · WINCHESTER, KY 40391 · Pediatric Dentist · NPI assigned 11/17/2023

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

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

$145K
Total Medicaid Paid
4,939
Total Claims
3,439
Beneficiaries
16
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date11/17/2023

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
DANVILLE PEDS DRE LLC DANVILLE KY $361K
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
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 4,939 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 605 586 $35K
D2930 Prefabricated stainless steel crown - primary tooth 209 109 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 189 130 $12K
D0230 Intraoral - periapical each additional radiographic image 1,200 325 $11K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 262 249 $10K
D1206 Topical application of fluoride varnish 555 534 $10K
D0120 Periodic oral evaluation - established patient 370 362 $10K
D1351 Sealant - per tooth 423 149 $9K
D0150 Comprehensive oral evaluation - new or established patient 306 292 $8K
D7140 Extraction, erupted tooth or exposed root 138 57 $6K
D0220 Intraoral - periapical first radiographic image 413 386 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 34 29 $3K
D1110 Prophylaxis - adult 29 26 $2K
D0272 Bitewings - two radiographic images 61 61 $1K
D1208 Topical application of fluoride, excluding varnish 49 49 $972.17
D9986 96 95 $273.00