Chlysta, David

Chlysta, David was paid $6K by Medicaid between Sep 2023 and Feb 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoCHLYSTA, DAVID
RAVENNA, OH 44266

33aNPI1902941594assigned 02/21/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims451

24DCodes billed8

24AFirst – last monthSep 2023 – Feb 2024

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#630 of 870

Median peer was paid$40K

This provider vs. median0.2×

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
2023	405	$6K
2024incomplete	46	$720.46

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	60	54	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	88	80	$2K
D0230	Intraoral - periapical each additional radiographic image	11%	121	61	$686.43
D0274	Bitewings - four radiographic images	10.0%	34	32	$637.00
D1208	Topical application of fluoride, excluding varnish	8.7%	37	33	$555.00
D0220	Intraoral - periapical first radiographic image	7.2%	85	78	$457.79
D0140	Limited oral evaluation - problem focused	4.2%	13	12	$270.96
D1120	Dental cleaning, childProphylaxis - child	4.1%	13	13	$260.00

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.