Dental
Pediatric Dental Specialists of Greater Nebraska - Kearney LLC
Pediatric Dental Specialists of Greater Nebraska - Kearney LLC was paid $402K by Medicaid between Jun 2023 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - KEARNEY LLC
KEARNEY, NE 68847
KEARNEY, NE 68847
33aNPI1386339802assigned 04/10/2023
33bProvider typePediatric Dentist
28Total paid$402K
24GClaims10,901
24DCodes billed20
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#24 of 52
Median peer was paid$292K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2023 | 3,725 | $118K | |
| 2024incomplete | 7,176 | $284K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 562 | 164 | $95K |
| D1206 | Topical application of fluoride varnish | 16% | 1,967 | 1,935 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,465 | 1,446 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,292 | 1,271 | $42K |
| D1351 | Sealant - per tooth | 6.5% | 737 | 208 | $26K |
| D0272 | Bitewings - two radiographic images | 4.9% | 1,037 | 1,024 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 224 | 143 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 405 | 362 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 150 | 102 | $15K |
| D0240 | 2.9% | 1,465 | 610 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 281 | 281 | $9K |
| D1110 | Prophylaxis - adult | 2.2% | 199 | 194 | $9K |
8 more codes
| D0274 | Bitewings - four radiographic images | 1.8% | 268 | $7K |
| D1354 | <1% | 241 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 299 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 189 | $1K |
| D0330 | Panoramic radiographic image | <1% | 51 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $396.90 |
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 officialJOHNSON, DAVE (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Specialists of Greater Nebraska, P.C. | Hastings, NE | $9.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.