Dental
Smile Station Pediatric Dentistry
Smile Station Pediatric Dentistry was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 25% of everything it billed.
33Billing provider infoSMILE STATION PEDIATRIC DENTISTRY
OMAHA, NE 68135
OMAHA, NE 68135
33aNPI1407285844assigned 11/06/2013
33bProvider typePediatric Dentist
28Total paid$1.38M
24GClaims65,200
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#10 of 52
Median peer was paid$292K
This provider vs. median4.7×
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 | 10,379 | $219K | |
| 2019 | 9,859 | $204K | |
| 2020 | 10,040 | $221K | |
| 2021 | 17,620 | $360K | |
| 2022 | 15,385 | $332K | |
| 2023 | 1,460 | $33K | |
| 2024incomplete | 457 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 25% | 15,389 | 14,780 | $352K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 13,624 | 13,566 | $343K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 11,628 | 11,589 | $254K |
| D1351 | Sealant - per tooth | 11% | 5,837 | 1,068 | $148K |
| D1999 | 5.8% | 8,115 | 7,980 | $80K | |
| D0272 | Bitewings - two radiographic images | 5.6% | 6,199 | 6,170 | $77K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 928 | 910 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 661 | 660 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 299 | 161 | $22K |
| D1110 | Prophylaxis - adult | 1.0% | 425 | 425 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 656 | 654 | $14K |
| D0330 | Panoramic radiographic image | <1% | 346 | 343 | $10K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 80 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 36 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 508 | $3K |
| D0240 | <1% | 302 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 62 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 50 | $948.51 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 34 | $174.90 |
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 officialHOHENSTEIN, JAMES (DENTIST/OWNER)