Medicaid Provider Spending

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

NELIGH FAMILY DENTISTRY, LLC

NPI: 1033684733 · NELIGH, NE 68756 · Dental Clinic/Center · NPI assigned 10/09/2018

$49K
Total Medicaid Paid
2,413
Total Claims
2,372
Beneficiaries
6
Codes Billed
2019-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBROVONT, TIMOTHY (OWNER)
NPI Enumeration Date10/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 131 $3K
2020 210 $5K
2021 645 $11K
2022 811 $15K
2023 460 $11K
2024 156 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 737 736 $17K
D1206 Topical application of fluoride varnish 585 583 $15K
D1999 729 692 $7K
D1120 Prophylaxis - child 239 239 $6K
D1110 Prophylaxis - adult 75 74 $3K
D0274 Bitewings - four radiographic images 48 48 $813.56