MOBILE DENTAL CARE OF NEBRASKA LLC
NPI: 1144621996
· OMAHA, NE 68144
· Dental Hygienist
· NPI assigned 09/11/2014
2,766
Beneficiary Records
Provider Details
| Authorized Official | RITTER, DELIA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 09/11/2014 |
Related Entities
Other providers sharing the same authorized official: RITTER, DELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$660.00 |
| 2019 |
200 |
$5K |
| 2020 |
141 |
$3K |
| 2021 |
321 |
$8K |
| 2022 |
420 |
$8K |
| 2023 |
781 |
$20K |
| 2024 |
1,032 |
$24K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
439 |
415 |
$20K |
| D1110 |
Prophylaxis - adult |
598 |
579 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
760 |
705 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
417 |
372 |
$9K |
| D9410 |
|
570 |
554 |
$3K |
| D1999 |
|
127 |
127 |
$1K |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$270.53 |