Clinic
Elite Dentistry Center LLC
Elite Dentistry Center LLC was paid $338K by Medicaid between Jan 2018 and Jun 2021, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoELITE DENTISTRY CENTER LLC
BEACHWOOD, OH 44122
BEACHWOOD, OH 44122
33aNPI1700286853assigned 08/26/2014
33bProvider typeDental Clinic/Center
28Total paid$338K
24GClaims13,025
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#47 of 111
Median peer was paid$236K
This provider vs. median1.4×
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 | 6,363 | $183K | |
| 2019 | 3,817 | $87K | |
| 2020 | 2,281 | $55K | |
| 2021 | 564 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 1,469 | 755 | $69K |
| D1110 | Prophylaxis - adult | 18% | 2,194 | 2,021 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 2,273 | 2,107 | $33K |
| D0330 | Panoramic radiographic image | 9.3% | 801 | 727 | $31K |
| D0274 | Bitewings - four radiographic images | 9.2% | 1,811 | 1,673 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 360 | 216 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 758 | 692 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 394 | 208 | $17K |
| D2394 | 4.7% | 236 | 159 | $16K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 225 | 92 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 301 | 285 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 97 | 68 | $5K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.5% | 353 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 351 | $5K |
| D2335 | 1.2% | 68 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 945 | $3K |
| D2160 | <1% | 35 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 267 | $915.00 |
| D0272 | Bitewings - two radiographic images | <1% | 87 | $870.00 |
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 officialBUTRIY, BOGDAN (OWNER)