Dental
Pediatric Dental Specialists of Greater Nebraska, P.C.
Pediatric Dental Specialists of Greater Nebraska, P.C. was paid $9.36M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA, P.C.
HASTINGS, NE 68902
HASTINGS, NE 68902
33aNPI1467553362assigned 09/26/2006
33bProvider typePediatric Dentist
28Total paid$9.36M
24GClaims328,841
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#2 of 52
Median peer was paid$292K
This provider vs. median32×
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 | 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 | |
| 2024incomplete | 49,764 | $1.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 13,322 | 3,898 | $1.80M |
| D1206 | Topical application of fluoride varnish | 15% | 54,134 | 53,205 | $1.45M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 43,683 | 43,558 | $1.34M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 40,810 | 40,702 | $1.07M |
| D1351 | Sealant - per tooth | 7.0% | 21,718 | 5,536 | $651K |
| D0272 | Bitewings - two radiographic images | 4.6% | 28,795 | 28,708 | $428K |
| D1999 | 3.8% | 35,891 | 34,605 | $352K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 4,040 | 2,438 | $351K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 8,722 | 8,377 | $287K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 3,773 | 1,747 | $283K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 4,493 | 4,488 | $188K |
| D0240 | 1.8% | 21,641 | 10,119 | $167K |
17 more codes
| D0274 | Bitewings - four radiographic images | 1.7% | 7,478 | $157K |
| D1110 | Prophylaxis - adult | 1.6% | 4,144 | $153K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 2,259 | $148K |
| D0330 | Panoramic radiographic image | 1.0% | 3,949 | $96K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,428 | $85K |
| D9420 | <1% | 837 | $70K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 10,359 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,957 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,718 | $43K |
| D1354 | <1% | 3,043 | $35K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 701 | $31K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 432 | $24K |
| D2140 | <1% | 295 | $14K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 170 | $12K |
| D1510 | <1% | 20 | $3K | |
| D2920 | <1% | 12 | $220.00 | |
| D1550 | <1% | 17 | $168.00 |
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 officialJOHNSON, DAVE (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Specialists of Greater Nebraska - Kearney LLC | Kearney, NE | $402K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.