1. Home
  2. Directory
  3. Pennsylvania
  4. Lebanon
  5. Dentist
  6. NPI Profile

ALEXANDRE BALACI DMD
NPI 1174514830
Dentist - Oral and Maxillofacial Surgery in Lebanon, PA

Active since November 02, 2005Opted out of Medicare · through Dec 12, 2026
860 TUCK ST, LEBANON, PA 17042(717) 273-6745(717) 273-0009 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandre Balaci Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRE BALACI DMD (NPI 1174514830) is an individual oral and maxillofacial surgery provider in Lebanon, Pennsylvania, licensed in Pennsylvania (DS028132-L) and active in the NPI registry since November 2005. He has opted out of Medicare through December 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174514830
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameALEXANDRE BALACICredential: DMD
Location Address860 TUCK STLebanon, PA 17042-7477
Mailing Address860 Tuck StLebanon, PA 17042-7477 · (717) 273-6745 · Fax (717) 273-0009
Phone(717) 273-6745
Fax(717) 273-0009
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 16, 2017
✔ NPI 1174514830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS028132-L
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
860 TUCK ST, Lebanon, PA 17042
Open in Google Maps ↗

Other Identifiers 7

Other449975Aetna
Medicare UPINU19709
Medicare ID-Type Unspecified686413L8T
Medicaid0014196710001PA
Other02993801PA · Capital Blue Cross
Other686413PA · Highmark Blue Shield
Other3905540001PA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alexandre Balaci Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2016 through December 12, 2026.

Opt-Out Effective DateDecember 12, 2016
Opt-Out In Effect ThroughDecember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandre Balaci's NPI number?

The NPI number for Alexandre Balaci is 1174514830. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Alexandre Balaci located?

Alexandre Balaci practices at 860 Tuck St, Lebanon, PA 17042. The listed phone number is (717) 273-6745.

What is Alexandre Balaci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Alexandre Balaci enrolled in Medicare?

No. Alexandre Balaci has opted out of Medicare through December 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alexandre Balaci accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Alexandre Balaci as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandre Balaci was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.