Dental
Ponca Family Dentistry
Ponca Family Dentistry was paid $82K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 35% of everything it billed.
33Billing provider infoPONCA FAMILY DENTISTRY
PONCA, NE 68770
PONCA, NE 68770
33aNPI1164842191assigned 04/17/2014
33bProvider typeDentist
28Total paid$82K
24GClaims3,969
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#35 of 119
Median peer was paid$24K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 570 | $13K | |
| 2019 | 385 | $9K | |
| 2020 | 327 | $7K | |
| 2021 | 625 | $11K | |
| 2022 | 853 | $15K | |
| 2023 | 620 | $14K | |
| 2024incomplete | 589 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 35% | 1,259 | 1,237 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,025 | 1,013 | $23K |
| D1110 | Prophylaxis - adult | 11% | 282 | 277 | $9K |
| D1999 | 9.8% | 811 | 711 | $8K | |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 300 | 294 | $8K |
| D0140 | Limited oral evaluation - problem focused | 5.0% | 240 | 214 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 39 | 39 | $752.13 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 12 | $187.68 |
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 officialFENDRICK, NATALIE (OWNER)