Dental
Mobile Dental Care of Nebraska LLC
Mobile Dental Care of Nebraska LLC was paid $69K by Medicaid between May 2018 and Dec 2024, across 7 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 29% of everything it billed.
33Billing provider infoMOBILE DENTAL CARE OF NEBRASKA LLC
OMAHA, NE 68144
OMAHA, NE 68144
33aNPI1144621996assigned 09/11/2014
33bProvider typeDental Hygienist
28Total paid$69K
24GClaims2,925
24DCodes billed7
24AFirst – last monthMay 2018 – Dec 2024
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 | 30 | $660.00 | |
| 2019 | 200 | $5K | |
| 2020 | 141 | $3K | |
| 2021 | 321 | $8K | |
| 2022 | 420 | $8K | |
| 2023 | 781 | $20K | |
| 2024incomplete | 1,032 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 29% | 439 | 415 | $20K |
| D1110 | Prophylaxis - adult | 28% | 598 | 579 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 760 | 705 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 417 | 372 | $9K |
| D9410 | 4.7% | 570 | 554 | $3K | |
| D1999 | 1.8% | 127 | 127 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 14 | 14 | $270.53 |
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 officialRITTER, DELIA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Mobile Vision of South Carolina, LLC | Louisville, KY | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.