Dental
West Maple Dental Specialists
West Maple Dental Specialists was paid $2.60M by Medicaid between Jan 2018 and Jun 2024, across 25 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 15% of everything it billed.
33Billing provider infoWEST MAPLE DENTAL SPECIALISTS
OMAHA, NE 68164
OMAHA, NE 68164
33aNPI1437252053assigned 09/07/2006
33bProvider typePediatric Dentist
28Total paid$2.60M
24GClaims95,176
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#6 of 52
Median peer was paid$292K
This provider vs. median8.9×
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 | 17,881 | $508K | |
| 2019 | 17,021 | $466K | |
| 2020 | 10,575 | $274K | |
| 2021 | 15,040 | $344K | |
| 2022 | 17,188 | $447K | |
| 2023 | 12,673 | $409K | |
| 2024incomplete | 4,798 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 15% | 17,532 | 16,908 | $386K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 15,012 | 14,910 | $367K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 12,887 | 12,786 | $366K |
| D1351 | Sealant - per tooth | 14% | 13,168 | 3,170 | $362K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 2,919 | 1,247 | $361K |
| D1110 | Prophylaxis - adult | 5.8% | 4,018 | 3,991 | $151K |
| D1999 | 3.3% | 8,707 | 8,442 | $87K | |
| D0330 | Panoramic radiographic image | 3.2% | 2,396 | 2,375 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 1,368 | 832 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 776 | 520 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,425 | 1,392 | $41K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,683 | 1,646 | $41K |
13 more codes
| D0272 | Bitewings - two radiographic images | 1.4% | 2,720 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 472 | $35K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 905 | $33K |
| D0274 | Bitewings - four radiographic images | 1.0% | 1,173 | $26K |
| D9248 | <1% | 648 | $26K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,113 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,265 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,735 | $17K |
| D2933 | <1% | 115 | $15K | |
| D1206 | Topical application of fluoride varnish | <1% | 44 | $1K |
| D9420 | <1% | 12 | $960.00 | |
| D0160 | 0% | 14 | $0.00 | |
| D1330 | 0% | 69 | $0.00 |
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 officialSECOLA, LOURDES (PRESIDENT)