Dental
Sandman, Alexis
Sandman, Alexis was paid $3K by Medicaid between Sep 2024 and Nov 2024, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 41% of everything it billed.
33Billing provider infoSANDMAN, ALEXIS
LINCOLN, NE 68506
LINCOLN, NE 68506
33aNPI1114656162assigned 06/06/2022
33bProvider typePediatric Dentist
28Total paid$3K
24GClaims121
24DCodes billed4
24AFirst – last monthSep 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#50 of 52
Median peer was paid$292K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 121 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 41% | 55 | 55 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 39 | 39 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 14 | 14 | $492.38 |
| D1110 | Prophylaxis - adult | 12% | 13 | 13 | $401.76 |
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.