Dental
Pediatric Dental Group, PC
Pediatric Dental Group, PC was paid $780K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP, PC
BELLEVUE, NE 68005
BELLEVUE, NE 68005
33aNPI1427591031assigned 11/30/2016
33bProvider typePediatric Dentist
28Total paid$780K
24GClaims34,994
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#19 of 52
Median peer was paid$292K
This provider vs. median2.7×
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 | 2,060 | $45K | |
| 2019 | 2,448 | $52K | |
| 2020 | 2,143 | $47K | |
| 2021 | 5,757 | $110K | |
| 2022 | 8,092 | $163K | |
| 2023 | 7,050 | $167K | |
| 2024incomplete | 7,444 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 6,846 | 6,823 | $194K |
| D1206 | Topical application of fluoride varnish | 22% | 6,682 | 6,552 | $168K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 5,807 | 5,785 | $140K |
| D1351 | Sealant - per tooth | 7.5% | 2,286 | 692 | $58K |
| D1999 | 5.5% | 4,317 | 4,166 | $43K | |
| D0272 | Bitewings - two radiographic images | 4.4% | 2,866 | 2,851 | $35K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 1,088 | 1,047 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 181 | 53 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 948 | 944 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 776 | 749 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 113 | 73 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,258 | 1,236 | $8K |
10 more codes
| D0330 | Panoramic radiographic image | <1% | 329 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 82 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 891 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 76 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 112 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 58 | $2K |
| D1354 | <1% | 169 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 64 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $961.38 |
| D0274 | Bitewings - four radiographic images | <1% | 28 | $441.14 |
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 officialHAJEK, RYAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ryan T Hajek DDS PC | Council Bluffs, IA | $5.54M |
| My Pediatric Dentist West Maple PC | Omaha, NE | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.