Anderson-Martin-Lacey-Antholz Dentists, PC

Anderson-Martin-Lacey-Antholz Dentists, PC was paid $43K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.

33Billing provider infoANDERSON-MARTIN-LACEY-ANTHOLZ DENTISTS, PC
LINCOLN, NE 68510

33aNPI1093722118assigned 08/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$43K

24GClaims1,697

24DCodes billed10

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#75 of 201

Median peer was paid$21K

This provider vs. median2.0×

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	150	$3K
2019	108	$3K
2020	167	$3K
2021	459	$12K
2022	328	$9K
2023	327	$9K
2024incomplete	158	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	56%	998	997	$24K
D1110	Prophylaxis - adult	25%	306	306	$11K
D1206	Topical application of fluoride varnish	5.6%	93	93	$2K
D0150	Comprehensive oral evaluation - new or established patient	5.5%	104	104	$2K
D0210	Intraoral - complete series of radiographic images	2.9%	26	26	$1K
D1999		2.3%	100	89	$990.00
D1120	Dental cleaning, childProphylaxis - child	2.0%	31	31	$866.34
D0274	Bitewings - four radiographic images	<1%	13	13	$271.82
D0330	Panoramic radiographic image	<1%	14	14	$114.60
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$86.52

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 officialMARTIN, MAX (OWNER/SECRETARY)