Medicaid Provider Spending

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

CRISP DRE LLC

NPI: 1902671373 · WINCHESTER, KY 40391 · Pediatric Dentist · NPI assigned 11/16/2023

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

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

$142K
Total Medicaid Paid
4,401
Total Claims
3,103
Beneficiaries
17
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, ELIZABETH (DIRECTOR OF REVENUE)
NPI Enumeration Date11/16/2023

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
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
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 4,401 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 796 683 $42K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 366 170 $23K
D1351 Sealant - per tooth 753 132 $15K
D0150 Comprehensive oral evaluation - new or established patient 535 491 $14K
D1208 Topical application of fluoride, excluding varnish 478 436 $8K
D0330 Panoramic radiographic image 174 140 $8K
D0120 Periodic oral evaluation - established patient 401 297 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 191 169 $7K
D0272 Bitewings - two radiographic images 252 248 $5K
D7140 Extraction, erupted tooth or exposed root 48 26 $4K
D1110 Prophylaxis - adult 56 39 $2K
D0220 Intraoral - periapical first radiographic image 163 155 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 27 14 $1K
D0140 Limited oral evaluation - problem focused 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 102 46 $979.98
D0274 Bitewings - four radiographic images 20 18 $563.57
D1206 Topical application of fluoride varnish 14 14 $277.52