BOLEY FAMILY DRE PLLC

NPI: 1841045499 · HODGENVILLE, KY 42748 · Dentist · NPI assigned 04/18/2024

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$25K

Total Medicaid Paid

628

Total Claims

599

Beneficiaries

Codes Billed

2024-07

First Month

2024-12

Last Month

Provider Details

Authorized Official	DAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date	04/18/2024

Other providers sharing the same authorized official: DAVIS, ELIZABETH

Provider	City	State	Total Paid
GERIATRIC SERVICES, INC.	TEANECK	NJ	$5.89M
GERIATRIC LIVING SOLUTIONS, INC.	TEANECK	NJ	$4.34M
CENTRAL KENTUCKY SEDATION PLLC	LEXINGTON	KY	$1.37M
ETOWN DENTISTRY DRE LLC	ELIZABETHTOWN	KY	$690K
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

Year	Claims	Total Paid
2024	628	$25K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	121	121	$7K
D0120	Periodic oral evaluation - established patient	163	163	$4K
D2332		55	26	$4K
D1120	Prophylaxis - child	74	74	$4K
D1208	Topical application of fluoride, excluding varnish	147	147	$3K
D0330	Panoramic radiographic image	28	28	$2K
D0274	Bitewings - four radiographic images	40	40	$961.20