Willow Dental Bellevue, LLC
Willow Dental Bellevue, LLC was paid $23K by Medicaid between Mar 2024 and Dec 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 38% of everything it billed.
BELLEVUE, NE 68147
Next to other General Practice Dentistry providers in Nebraska
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 1,150 | $23K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 38% | 93 | 40 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16% | 32 | 20 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 107 | 106 | $3K |
| D0330 | Panoramic radiographic image | 11% | 90 | 90 | $3K |
| D1110 | Prophylaxis - adult | 7.4% | 40 | 40 | $2K |
| D0274 | Bitewings - four radiographic images | 5.1% | 77 | 77 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 568 | 105 | $1K |
| D1206 | Topical application of fluoride varnish | 4.0% | 36 | 36 | $948.16 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 107 | 107 | $380.29 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mco Peds PLLC | Jenks, OK | $2.51M |
| Oklahoma City Dental SW, PLLC | Oklahoma City, OK | $1.24M |
| Summer Dental Stillwater, PLLC | Stillwater, OK | $1.22M |
| Sapulpa Kids Dental PLLC | Sapulpa, OK | $1.12M |
| Spring Orthodontics Tulsa | Tulsa, OK | $1.03M |
| Spring Dental Collinsville, PLLC | Collinsville, OK | $1.01M |
| Okc 89TH Dental, PLLC | Oklahoma City, OK | $962K |
| Tulsa Kids Dental PLLC | Tulsa, OK | $857K |
| Witchita 21ST Dental, PA | Wichita, KS | $802K |
| Summer Dental Midwest City, PLLC | Midwest City, OK | $454K |
| Spring Dental Vinita, PLLC | Vinita, OK | $371K |
| River Dental Siloam Springs, PLLC | Siloam Springs, AR | $267K |
| Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC | Tulsa, OK | $194K |
| Cottonwood Dental Maize, PA | Wichita, KS | $186K |
| Redbud Dental Edmond, PLLC | Edmond, OK | $157K |
| Dental Care of Wichita PA | Wichita, KS | $73K |
| River Dental Rogers South, PLLC | Rogers, AR | $66K |
| River Dental Rogers, PLLC | Rogers, AR | $61K |
| Marion Family Smiles, P.A. | Marion, KS | $56K |
| Owasso Pediatric Dentistry, PLLC | Owasso, OK | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.