Dental
Kingsley Dental LLC
Kingsley Dental LLC was paid $39K by Medicaid between Mar 2018 and Sep 2022, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoKINGSLEY DENTAL LLC
OMAHA, NE 68134
OMAHA, NE 68134
33aNPI1376978668assigned 09/05/2013
33bProvider typeDentist
28Total paid$39K
24GClaims1,877
24DCodes billed10
24AFirst – last monthMar 2018 – Sep 2022
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#50 of 119
Median peer was paid$24K
This provider vs. median1.6×
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 | 379 | $10K | |
| 2019 | 202 | $4K | |
| 2020 | 348 | $7K | |
| 2021 | 725 | $13K | |
| 2022 | 223 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 313 | 313 | $7K |
| D1110 | Prophylaxis - adult | 17% | 202 | 202 | $7K |
| D1206 | Topical application of fluoride varnish | 17% | 300 | 289 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 281 | 281 | $6K |
| D0274 | Bitewings - four radiographic images | 13% | 255 | 255 | $5K |
| D1999 | 8.4% | 335 | 278 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 28 | 17 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 58 | 58 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 91 | 91 | $553.56 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 14 | $189.42 |
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 officialLIPPOLD, DORIE (OFFICE MANAGER)