Dental
Stavisky, Elena
Stavisky, Elena was paid $750K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoSTAVISKY, ELENA
HADDON TOWNSHIP, NJ 08108
HADDON TOWNSHIP, NJ 08108
33aNPI1477586436assigned 07/09/2006
33bProvider typePediatric Dentist
28Total paid$750K
24GClaims16,387
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#58 of 190
Median peer was paid$275K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2018 | 3,589 | $167K | |
| 2019 | 3,311 | $156K | |
| 2020 | 1,958 | $90K | |
| 2021 | 2,062 | $94K | |
| 2022 | 2,123 | $98K | |
| 2023 | 1,964 | $86K | |
| 2024incomplete | 1,380 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 4,299 | 4,295 | $193K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 23% | 1,755 | 749 | $174K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 3,686 | 3,684 | $165K |
| D1206 | Topical application of fluoride varnish | 17% | 4,123 | 4,121 | $127K |
| D0272 | Bitewings - two radiographic images | 4.2% | 934 | 934 | $32K |
| D1110 | Prophylaxis - adult | 3.6% | 596 | 587 | $27K |
| D0274 | Bitewings - four radiographic images | 3.0% | 668 | 664 | $22K |
| D1351 | Sealant - per tooth | <1% | 98 | 26 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 147 | 144 | $4K |
| D0330 | Panoramic radiographic image | <1% | 16 | 16 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 65 | 65 | $970.00 |
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.