Dental
Loup Valley Dental
Loup Valley Dental was paid $14K by Medicaid between Apr 2023 and Nov 2023, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 32% of everything it billed.
33Billing provider infoLOUP VALLEY DENTAL
ORD, NE 68862
ORD, NE 68862
33aNPI1215493390assigned 02/14/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims539
24DCodes billed6
24AFirst – last monthApr 2023 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#112 of 201
Median peer was paid$21K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 539 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 32% | 162 | 162 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 162 | 162 | $4K |
| D1110 | Prophylaxis - adult | 17% | 63 | 63 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 72 | 72 | $2K |
| D0274 | Bitewings - four radiographic images | 4.0% | 25 | 25 | $537.92 |
| D1999 | 2.7% | 55 | 49 | $370.00 |
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 officialBRINKMAN, ARIELLE (DOCTOR)