York Dental Arts Clinic PC

York Dental Arts Clinic PC was paid $32K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoYORK DENTAL ARTS CLINIC PC
YORK, NE 68467

33aNPI1275620403assigned 10/09/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims1,736

24DCodes billed7

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#86 of 201

Median peer was paid$21K

This provider vs. median1.5×

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	273	$5K
2019	245	$5K
2020	555	$11K
2021	663	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	438	438	$9K
D1206	Topical application of fluoride varnish	22%	303	299	$7K
D0272	Bitewings - two radiographic images	15%	400	400	$5K
D1120	Dental cleaning, childProphylaxis - child	12%	154	154	$4K
D1110	Prophylaxis - adult	9.7%	95	95	$3K
D1999		9.4%	310	299	$3K
D0140	Limited oral evaluation - problem focused	2.5%	36	36	$824.04

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 officialWIETING, DAVID (PRESIDENT)