Fremont Children's Dentistry, LLC

Fremont Children's Dentistry, LLC was paid $1.01M by Medicaid between Jan 2018 and Dec 2021, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.

33Billing provider infoFREMONT CHILDREN'S DENTISTRY, LLC
FREMONT, NE 68025

33aNPI1083987911assigned 02/23/2012

33bProvider typePediatric Dentist

28Total paid$1.01M

24GClaims40,253

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Pediatric Dentist providers in Nebraska

Rank by total paid#16 of 52

Median peer was paid$292K

This provider vs. median3.5×

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
2018	9,723	$266K
2019	9,552	$226K
2020	10,772	$279K
2021	10,206	$243K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	20%	1,680	348	$199K
D1206	Topical application of fluoride varnish	18%	8,150	7,853	$187K
D1120	Dental cleaning, childProphylaxis - child	18%	7,132	7,114	$181K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	6,356	6,354	$141K
D1351	Sealant - per tooth	6.8%	2,789	835	$69K
D0272	Bitewings - two radiographic images	6.3%	5,138	5,131	$64K
D1999		2.9%	2,903	2,872	$29K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.6%	472	305	$27K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.2%	886	858	$23K
D0140	Limited oral evaluation - problem focused	2.0%	940	927	$21K
D9420		1.5%	185	185	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	137	77	$10K

9 more codes

D0274	Bitewings - four radiographic images	<1%	538	$10K
D0150	Comprehensive oral evaluation - new or established patient	<1%	401	$9K
D0220	Intraoral - periapical first radiographic image	<1%	1,389	$8K
D2934		<1%	58	$8K
D1110	Prophylaxis - adult	<1%	181	$6K
D0230	Intraoral - periapical each additional radiographic image	<1%	778	$4K
D0210	Intraoral - complete series of radiographic images	<1%	57	$3K
D0145	Oral evaluation for a patient under three years of age	<1%	13	$500.37
D0330	Panoramic radiographic image	<1%	70	$337.05

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.

From NPPES

Who's on the registration

Authorized officialROTHE, VINCENT (OWNER)