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CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC
CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC
NPI: 1134493083
· OMAHA, NE 68105
· 1223P0221X
$8.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34,368 |
$858K |
| 2019 |
36,407 |
$884K |
| 2020 |
45,025 |
$1.06M |
| 2021 |
52,252 |
$1.28M |
| 2022 |
64,206 |
$1.52M |
| 2023 |
56,036 |
$1.47M |
| 2024 |
54,291 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
71,528 |
12,778 |
$1.93M |
| D1206 |
|
46,566 |
45,386 |
$1.15M |
| D2930 |
|
9,237 |
3,165 |
$1.14M |
| D1120 |
|
37,328 |
37,106 |
$1.05M |
| D0120 |
|
37,197 |
36,997 |
$895K |
| D1110 |
|
8,012 |
7,948 |
$293K |
| D2392 |
|
3,358 |
1,945 |
$281K |
| D0230 |
|
40,920 |
21,554 |
$214K |
| D9230 |
|
6,006 |
5,832 |
$180K |
| D0274 |
|
8,506 |
8,454 |
$173K |
| D0272 |
|
12,413 |
12,346 |
$173K |
| D0330 |
|
4,352 |
4,286 |
$162K |
| D1999 |
|
15,876 |
15,521 |
$157K |
| D0145 |
|
3,938 |
3,908 |
$155K |
| D0220 |
|
23,097 |
22,727 |
$151K |
| D2391 |
|
1,787 |
1,163 |
$111K |
| D0150 |
|
4,203 |
4,149 |
$98K |
| D7140 |
|
1,361 |
861 |
$95K |
| D0140 |
|
2,605 |
2,571 |
$61K |
| D9420 |
|
565 |
565 |
$45K |
| D1354 |
|
2,878 |
723 |
$32K |
| D2393 |
|
270 |
203 |
$29K |
| D3220 |
|
271 |
151 |
$19K |
| D0210 |
|
291 |
288 |
$13K |
| D1208 |
|
20 |
20 |
$360.00 |