Dental
Premier Smile Dental Associates, PC
Premier Smile Dental Associates, PC was paid $64K by Medicaid between Jan 2018 and Nov 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoPREMIER SMILE DENTAL ASSOCIATES, PC
OMAHA, NE 68130
OMAHA, NE 68130
33aNPI1104162601assigned 01/02/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$64K
24GClaims2,665
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#62 of 201
Median peer was paid$21K
This provider vs. median3.0×
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 | 2,032 | $50K | |
| 2020 | 24 | $501.55 | |
| 2021 | 609 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 203 | 97 | $13K |
| D1206 | Topical application of fluoride varnish | 20% | 612 | 610 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 511 | 511 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 318 | 318 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.6% | 180 | 154 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 200 | 200 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 73 | 73 | $3K |
| D1351 | Sealant - per tooth | 4.7% | 132 | 37 | $3K |
| D1110 | Prophylaxis - adult | 2.4% | 56 | 56 | $2K |
| D0272 | Bitewings - two radiographic images | 2.1% | 184 | 184 | $1K |
| D0330 | Panoramic radiographic image | <1% | 126 | 126 | $580.40 |
| D0274 | Bitewings - four radiographic images | <1% | 46 | 46 | $456.00 |
1 more codes
| D0240 | <1% | 24 | $154.00 |
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.
From NPPES
Who's on the registration
Authorized officialBENINATO, DANIEL (OWNER)