NE OMS SPECIALTY DENTAL SERVICES, LLC

NPI: 1194483032 · OMAHA, NE 68164 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/07/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more

$57K

Total Medicaid Paid

584

Total Claims

413

Beneficiaries

Codes Billed

2024-03

First Month

2024-10

Last Month

Provider Details

Authorized Official	DASCH, CHARLOTTE (DIRECTOR OF CREDENTIALING & PR)
Parent Organization	NE OMS SPECIALTY DENTAL SERVICES, LLC
NPI Enumeration Date	12/07/2021

Other providers sharing the same authorized official: DASCH, CHARLOTTE

Provider	City	State	Total Paid
UT BCDO SPECIALTY DENTAL SERVICES, PLLC	WEST JORDAN	UT	$14.06M
TN SPECIALTY DENTAL SERVICES, PLLC	BRENTWOOD	TN	$8.67M
CDPT II PC	DALLAS	TX	$3.16M
TN SPECIALTY DENTAL SERVICES, PLLC	KNOXVILLE	TN	$848K
NE SPECIALTY DENTAL SERVICES LLC	OMAHA	NE	$521K
MT OMS SPECIALTY DENTAL SERVICES, PLLC	BILLINGS	MT	$480K
CO SPECIALTY DENTAL SERVICES PLLC	AURORA	CO	$341K
CO SPECIALTY DENTAL SERVICES PLLC	GLENDALE	CO	$255K
UT SPECIALTY DENTAL SERVICES, PLLC	SPANISH FORK	UT	$166K
CO SPECIALTY DENTAL SERVICES PLLC	PARKER	CO	$120K
TN SPECIALTY DENTAL SERVICES, PLLC	BRENTWOOD	TN	$117K
TN SPECIALTY DENTAL SERVICES, PLLC	HENDERSONVILLE	TN	$98K
TN SPECIALTY DENTAL SERVICES, PLLC	NOLENSVILLE	TN	$54K
OK OMS SPECIALTY DENTAL SERVICES	OKLAHOMA CITY	OK	$38K
NE SPECIALTY DENTAL SERVICES LLC	OMAHA	NE	$35K
OK SPECIALTY DENTAL SERVICES PLLC	OKLAHOMA CITY	OK	$32K
CO SPECIALTY DENTAL SERVICES PLLC	THORNTON	CO	$23K
CO SPECIALTY DENTAL SERVICES PLLC	COLORADO SPRINGS	CO	$13K
CO SPECIALTY DENTAL SERVICES PLLC	COLORADO SPRINGS	CO	$5K
TN SPECIALTY DENTAL SERVICES, PLLC	BRENTWOOD	TN	$5K

Year	Claims	Total Paid
2024	584	$57K

Code	Description	Claims	Beneficiaries	Total Paid
D7240	Removal of impacted tooth - completely bony	131	38	$30K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	192	129	$13K
D9222		134	129	$10K
D0140	Limited oral evaluation - problem focused	127	117	$4K