Dental
Blavatsky, Elizabeth
Blavatsky, Elizabeth was paid $351.80 by Medicaid between Feb 2019 and Feb 2019, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoBLAVATSKY, ELIZABETH
LIVINGSTON, MT 59047
LIVINGSTON, MT 59047
33aNPI1679627699assigned 01/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$351.80
24GClaims15
24DCodes billed1
24AFirst – last monthFeb 2019 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#139 of 149
Median peer was paid$40K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 15 | $351.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 15 | 14 | $351.80 |
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.