Desamero, Elizabeth

Desamero, Elizabeth was paid $30K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 19% of everything it billed.

33Billing provider infoDESAMERO, ELIZABETH
FREMONT, NE 68025

33aNPI1225550528assigned 07/09/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims707

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#89 of 201

Median peer was paid$21K

This provider vs. median1.4×

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	693	$29K
2019	14	$375.02

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	19%	125	125	$6K
D1120	Dental cleaning, childProphylaxis - child	16%	84	84	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	103	102	$4K
D0220	Intraoral - periapical first radiographic image	14%	153	153	$4K
D0230	Intraoral - periapical each additional radiographic image	14%	123	117	$4K
D0150	Comprehensive oral evaluation - new or established patient	7.2%	26	26	$2K
D1351	Sealant - per tooth	6.3%	37	12	$2K
D0272	Bitewings - two radiographic images	6.2%	44	44	$2K
D0274	Bitewings - four radiographic images	2.4%	12	12	$709.00

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.