Dental
LC Elite PLLC
LC Elite PLLC was paid $8K by Medicaid between Mar 2022 and Dec 2024, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.
33Billing provider infoLC ELITE PLLC
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
33aNPI1487256392assigned 11/15/2020
33bProvider typeDentist
28Total paid$8K
24GClaims707
24DCodes billed9
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,111 of 1,678
Median peer was paid$35K
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.
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 | |
|---|---|---|---|
| 2022 | 46 | $470.57 | |
| 2023 | 185 | $2K | |
| 2024incomplete | 476 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24% | 196 | 166 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 56 | 50 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 45 | 39 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 70 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 156 | 121 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.9% | 86 | 66 | $736.64 |
| D0274 | Bitewings - four radiographic images | 3.7% | 12 | 12 | $311.49 |
| D0601 | 0% | 73 | 69 | $0.00 | |
| D0603 | 0% | 13 | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialADEGUN, OREOLUWA (GENERAL DENTIST)