Clinic
Ponca Tribe of Nebraska
Ponca Tribe of Nebraska was paid $312K by Medicaid between Jan 2018 and Dec 2022, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPONCA TRIBE OF NEBRASKA
NORFOLK, NE 68701
NORFOLK, NE 68701
33aNPI1285987735assigned 10/22/2012
33bProvider typeDental Clinic/Center
28Total paid$312K
24GClaims1,360
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#6 of 41
Median peer was paid$25K
This provider vs. median13×
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 | 140 | $52K | |
| 2019 | 65 | $29K | |
| 2020 | 45 | $16K | |
| 2021 | 254 | $57K | |
| 2022 | 856 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 599 | 536 | $309K |
| D1999 | 1.1% | 374 | 330 | $3K | |
| 90686 | <1% | 18 | 18 | $74.97 | |
| D1330 | 0% | 69 | 68 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 26 | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 128 | 121 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 69 | 13 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 19 | 19 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 32 | 32 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 13 | 13 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 13 | 13 | $0.00 |
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 officialLEE, DONALD (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Donald Y. Lee DDS PS | Bellevue, WA | $2.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.