Clinic
NPI deactivated
Pediatric Dentistry, P.C.
Pediatric Dentistry, P.C. was paid $536K by Medicaid between Jan 2019 and Dec 2024, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 27% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY, P.C.
LINCOLN, NE 68516
LINCOLN, NE 68516
33aNPI1154750677assigned 11/05/2013
33bProvider typeDental Clinic/Center
28Total paid$536K
24GClaims22,675
24DCodes billed13
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#5 of 41
Median peer was paid$25K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2019 | 3,729 | $87K | |
| 2020 | 2,946 | $71K | |
| 2021 | 4,789 | $103K | |
| 2022 | 4,736 | $108K | |
| 2023 | 3,696 | $97K | |
| 2024incomplete | 2,779 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 27% | 5,807 | 5,540 | $145K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 5,251 | 5,168 | $125K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 4,044 | 3,983 | $113K |
| D1351 | Sealant - per tooth | 7.6% | 1,556 | 402 | $41K |
| D1110 | Prophylaxis - adult | 7.4% | 1,114 | 1,087 | $40K |
| D1999 | 5.5% | 2,954 | 2,829 | $30K | |
| D0272 | Bitewings - two radiographic images | 3.3% | 1,291 | 1,264 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 192 | 126 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 233 | 228 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 141 | 134 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 36 | 25 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 32 | 32 | $695.64 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $526.13 |
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 officialJOHNSON, BRENT (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Blue Earth Valley Eye Clinic LTD | Blue Earth, MN | $137K |
| Blue Earth Valley Eye Clinic LTD | Winnebago, MN | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.