Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA, P.C.

NPI: 1467553362 · HASTINGS, NE 68902 · Pediatric Dentist · NPI assigned 09/26/2006

$9.36M
Total Medicaid Paid
328,841
Total Claims
279,706
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, DAVE (PRACTICE ADMINISTRATOR)
NPI Enumeration Date09/26/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, DAVE

ProviderCityStateTotal Paid
PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - KEARNEY LLC KEARNEY NE $402K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,024 $1.01M
2019 8,525 $256K
2020 32,933 $858K
2021 73,636 $1.79M
2022 68,971 $1.84M
2023 55,988 $1.65M
2024 49,764 $1.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 13,322 3,898 $1.80M
D1206 Topical application of fluoride varnish 54,134 53,205 $1.45M
D1120 Prophylaxis - child 43,683 43,558 $1.34M
D0120 Periodic oral evaluation - established patient 40,810 40,702 $1.07M
D1351 Sealant - per tooth 21,718 5,536 $651K
D0272 Bitewings - two radiographic images 28,795 28,708 $428K
D1999 35,891 34,605 $352K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,040 2,438 $351K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 8,722 8,377 $287K
D7140 Extraction, erupted tooth or exposed root 3,773 1,747 $283K
D0145 Oral evaluation for a patient under three years of age 4,493 4,488 $188K
D0240 21,641 10,119 $167K
D0274 Bitewings - four radiographic images 7,478 7,449 $157K
D1110 Prophylaxis - adult 4,144 4,132 $153K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,259 1,493 $148K
D0330 Panoramic radiographic image 3,949 3,934 $96K
D0140 Limited oral evaluation - problem focused 3,428 3,382 $85K
D9420 837 824 $70K
D0220 Intraoral - periapical first radiographic image 10,359 10,191 $65K
D0150 Comprehensive oral evaluation - new or established patient 1,957 1,951 $49K
D0230 Intraoral - periapical each additional radiographic image 8,718 6,439 $43K
D1354 3,043 1,231 $35K
D0210 Intraoral - complete series of radiographic images 701 701 $31K
D2150 Silver amalgam - two surfaces, primary or permanent 432 278 $24K
D2140 295 202 $14K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 170 80 $12K
D1510 20 14 $3K
D2920 12 12 $220.00
D1550 17 12 $168.00