Dental
Tooth Fairy PC
Tooth Fairy PC was paid $523K by Medicaid between Jan 2018 and Mar 2023, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoTOOTH FAIRY PC
KEARNEY, NE 68847
KEARNEY, NE 68847
33aNPI1316203433assigned 04/03/2012
33bProvider typePediatric Dentist
28Total paid$523K
24GClaims24,716
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#22 of 52
Median peer was paid$292K
This provider vs. median1.8×
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
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 | 4,707 | $100K | |
| 2019 | 4,310 | $87K | |
| 2020 | 3,987 | $86K | |
| 2021 | 5,693 | $124K | |
| 2022 | 4,969 | $103K | |
| 2023 | 1,050 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,195 | 722 | $89K |
| D1206 | Topical application of fluoride varnish | 17% | 3,847 | 3,729 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,459 | 3,451 | $76K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,832 | 2,830 | $76K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.4% | 1,709 | 1,456 | $49K |
| D1110 | Prophylaxis - adult | 6.3% | 986 | 986 | $33K |
| D1999 | 5.7% | 2,980 | 2,674 | $30K | |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 2,765 | 2,718 | $17K |
| D0274 | Bitewings - four radiographic images | 2.8% | 764 | 763 | $15K |
| D0272 | Bitewings - two radiographic images | 2.6% | 1,031 | 1,030 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 2,583 | 2,216 | $13K |
| D1351 | Sealant - per tooth | 1.3% | 292 | 96 | $7K |
4 more codes
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 officialPOORMAN, TERESA (DENTIST)