Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Bluegrass Peds Dre LLC

Bluegrass Peds Dre LLC was paid $114K by Medicaid between Feb 2024 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.

33Billing provider infoBLUEGRASS PEDS DRE LLC
RICHMOND, KY 40475
33aNPI1467227835assigned 11/16/2023
33bProvider typePediatric Dentist
28Total paid$114K
24GClaims3,552
24DCodes billed7
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Kentucky

Rank by total paid#105 of 134
Median peer was paid$467K
This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAVIS, ELIZABETH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2024incomplete3,552$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 50% 989 961 $57K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 21% 916 883 $24K
D1206 Topical application of fluoride varnish 17% 1,110 1,070 $20K
D0272 Bitewings - two radiographic images 7.4% 419 406 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.6% 26 12 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.5% 42 39 $2K
D0150 Comprehensive oral evaluation - new or established patient 1.4% 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.

From NPPES

Who's on the registration

Authorized officialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
Same official

Other billing entities under DAVIS, ELIZABETH

Full network →
ProviderLocationPaid
Geriatric Services, INC.Teaneck, NJ$5.89M
Geriatric Living Solutions, INC.Teaneck, NJ$4.34M
Central Kentucky Sedation PLLCLexington, KY$1.37M
Etown Dentistry Dre LLCElizabethtown, KY$690K
Wise Dentistry Dre LLCCampbellsville, KY$411K
Kentuckiana Peds Dre LLCMt Washington, KY$373K
Danville Peds Dre LLCDanville, KY$361K
Gelsomino and Davis Speech and Occupational TherapyLiberty, NY$343K
Pdos Dre LLCShelbyville, KY$323K
Barnhill Peds Dre LLCCorbin, KY$265K
Beaumont Kids Dre LLCLexington, KY$175K
Pdow Dre LLCWinchester, KY$145K
Crisp Dre LLCWinchester, KY$142K
Liz Davis LPC LLCStamford, CT$119K
Thrive Wellness, LLCDurango, CO$118K
Main Street Family Medical, LLCSpiro, OK$115K
DFC Dre LLCLexington, KY$84K
KBD Kids Dre LLCLondon, KY$72K
Morehead Peds Dre LLCMorehead, KY$61K
MT Sterling Peds Dre LLCMt Sterling, KY$57K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.