BLUEGRASS PEDS DRE LLC

NPI: 1467227835 · RICHMOND, KY 40475 · Pediatric Dentist · NPI assigned 11/16/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$114K

Total Medicaid Paid

3,552

Total Claims

3,421

Beneficiaries

Codes Billed

2024-02

First Month

2024-12

Last Month

Provider Details

Authorized Official	DAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date	11/16/2023

Other providers sharing the same authorized official: DAVIS, ELIZABETH

Provider	City	State	Total 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
PDOW DRE LLC	WINCHESTER	KY	$145K
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
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

Year	Claims	Total Paid
2024	3,552	$114K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	989	961	$57K
D0120	Periodic oral evaluation - established patient	916	883	$24K
D1206	Topical application of fluoride varnish	1,110	1,070	$20K
D0272	Bitewings - two radiographic images	419	406	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	26	12	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	42	39	$2K
D0150	Comprehensive oral evaluation - new or established patient	50	50	$2K