Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ETOWN DENTISTRY DRE LLC

NPI: 1831962463 · ELIZABETHTOWN, KY 42701 · Pediatric Dentist · NPI assigned 11/06/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$690K
Total Medicaid Paid
21,532
Total Claims
19,465
Beneficiaries
19
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date11/06/2023

Related Entities

Other providers sharing the same authorized official: DAVIS, ELIZABETH

ProviderCityStateTotal Paid
GERIATRIC SERVICES, INC. TEANECK NJ $5.89M
GERIATRIC LIVING SOLUTIONS, INC. TEANECK NJ $4.34M
CENTRAL KENTUCKY SEDATION PLLC LEXINGTON KY $1.37M
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
BLUEGRASS PEDS DRE LLC RICHMOND KY $114K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 21,532 $690K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 3,200 3,122 $189K
D0120 Periodic oral evaluation - established patient 3,772 3,696 $102K
D1206 Topical application of fluoride varnish 2,887 2,854 $54K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,205 1,083 $46K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 704 429 $46K
D1110 Prophylaxis - adult 724 711 $42K
D2391 Resin-based composite - one surface, posterior, primary or permanent 666 451 $35K
D0272 Bitewings - two radiographic images 1,558 1,502 $33K
D1208 Topical application of fluoride, excluding varnish 1,362 1,293 $25K
D0330 Panoramic radiographic image 453 430 $23K
D0220 Intraoral - periapical first radiographic image 1,627 1,555 $19K
D0274 Bitewings - four radiographic images 498 486 $17K
D0230 Intraoral - periapical each additional radiographic image 1,823 1,252 $15K
D2930 Prefabricated stainless steel crown - primary tooth 139 40 $14K
D7140 Extraction, erupted tooth or exposed root 170 82 $11K
D0150 Comprehensive oral evaluation - new or established patient 316 291 $10K
D1351 Sealant - per tooth 342 106 $8K
D0145 Oral evaluation for a patient under three years of age 71 70 $2K
D9420 15 12 $851.76