Blue Dragonfly LLC

Blue Dragonfly LLC was paid $3K by Medicaid between Aug 2020 and Aug 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 79% of everything it billed.

33Billing provider infoBLUE DRAGONFLY LLC
CAMBRIDGE, NE 69022

33aNPI1285737882assigned 09/07/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims116

24DCodes billed3

24AFirst – last monthAug 2020 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#144 of 201

Median peer was paid$21K

This provider vs. median0.1×

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
2020	47	$966.60
2021	40	$922.04
2022	14	$359.66
2024incomplete	15	$431.66

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	79%	88	88	$2K
D1120	Dental cleaning, childProphylaxis - child	15%	16	16	$405.75
D0272	Bitewings - two radiographic images	5.6%	12	12	$148.83

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 officialCOPE, DEAN (OWNER OFFICER)