Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Holdrege Family Dental, L.L.C

Holdrege Family Dental, L.L.C was paid $80K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoHOLDREGE FAMILY DENTAL, L.L.C
HOLDREGE, NE 68949
33aNPI1275778227assigned 12/04/2008
28Total paid$80K
24GClaims4,106
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#57 of 201
Median peer was paid$21K
This provider vs. median3.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018576$13K
2019373$9K
2020340$8K
2021756$13K
20221,340$22K
2023616$12K
2024incomplete105$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 40% 1,391 1,386 $32K
D1110 Prophylaxis - adult 25% 616 614 $20K
D1999 18% 1,498 1,309 $15K
D1206 Topical application of fluoride varnish 11% 401 400 $8K
D1120 Dental cleaning, childProphylaxis - child 3.9% 117 116 $3K
D0274 Bitewings - four radiographic images <1% 43 43 $719.40
D0150 Comprehensive oral evaluation - new or established patient <1% 25 25 $594.28
D0272 Bitewings - two radiographic images <1% 15 15 $227.70

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 officialNELSEN, THOMAS (OWNER)