Dental
Missouri Valley Dental Group, LLC
Missouri Valley Dental Group, LLC was paid $3.14M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 32% of everything it billed.
33Billing provider infoMISSOURI VALLEY DENTAL GROUP, LLC
OMAHA, NE 68164
OMAHA, NE 68164
33aNPI1437467628assigned 09/22/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$3.14M
24GClaims59,270
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#2 of 201
Median peer was paid$21K
This provider vs. median148×
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 | 16,939 | $755K | |
| 2019 | 16,554 | $670K | |
| 2020 | 6,709 | $435K | |
| 2021 | 4,176 | $267K | |
| 2022 | 5,357 | $333K | |
| 2023 | 5,311 | $361K | |
| 2024incomplete | 4,224 | $323K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 32% | 10,468 | 3,917 | $992K |
| D9243 | 14% | 6,541 | 3,663 | $431K | |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 7,435 | 1,430 | $381K |
| D9239 | 9.0% | 4,066 | 3,894 | $283K | |
| D7230 | 6.9% | 1,238 | 656 | $216K | |
| D7240 | Removal of impacted tooth - completely bony | 6.1% | 1,038 | 421 | $193K |
| D0330 | Panoramic radiographic image | 3.7% | 4,064 | 4,008 | $115K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 3,595 | 3,534 | $88K |
| D7220 | 2.4% | 594 | 372 | $76K | |
| D1110 | Prophylaxis - adult | 1.7% | 1,641 | 1,631 | $53K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 725 | 447 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 1,852 | 1,841 | $40K |
18 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 575 | $24K |
| D1120 | Dental cleaning, child | <1% | 892 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,108 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 958 | $21K |
| D0274 | Bitewings - four radiographic images | <1% | 1,630 | $20K |
| D9310 | <1% | 782 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,964 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 295 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,037 | $14K |
| D2740 | Crown - porcelain/ceramic | <1% | 36 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 103 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 518 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 279 | $5K |
| D2950 | <1% | 54 | $5K | |
| D1999 | <1% | 676 | $4K | |
| D4341 | <1% | 35 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 54 | $1K |
| D2332 | <1% | 17 | $1K |
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 officialKERGER, JEAN (CORPORATE SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Missouri Valley Dental Group LLC | Missouri Valley, IA | $374K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.