Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DISTINCTIVE DENTAL CARE

NPI: 1306338595 · LINCOLN, NE 68502 · Dentist · NPI assigned 06/04/2018

$13K
Total Medicaid Paid
505
Total Claims
470
Beneficiary Records
4
Codes Billed
2020-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSCISSORS, LIANNE (OFFICE ADMINISTRATOR)
NPI Enumeration Date06/04/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $822.84
2021 69 $2K
2022 171 $4K
2023 123 $3K
2024 118 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 212 191 $6K
D0120 Periodic oral evaluation - established patient 269 255 $6K
D0210 Intraoral - complete series of radiographic images 12 12 $553.56
D0150 Comprehensive oral evaluation - new or established patient 12 12 $269.28