Aksarben Smiles LLC

Aksarben Smiles LLC was paid $26K by Medicaid between Jan 2019 and Feb 2020, across 11 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 28% of everything it billed.

33Billing provider infoAKSARBEN SMILES LLC
OMAHA, NE 68124

33aNPI1467939348assigned 07/24/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$26K

24GClaims1,142

24DCodes billed11

24AFirst – last monthJan 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#94 of 201

Median peer was paid$21K

This provider vs. median1.2×

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
2019	1,046	$25K
2020	96	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	28%	331	314	$7K
D0210	Intraoral - complete series of radiographic images	19%	110	110	$5K
D1110	Prophylaxis - adult	15%	116	116	$4K
D0150	Comprehensive oral evaluation - new or established patient	12%	146	146	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.4%	98	98	$2K
D1120	Dental cleaning, childProphylaxis - child	6.1%	65	65	$2K
D0140	Limited oral evaluation - problem focused	5.9%	76	76	$2K
D0220	Intraoral - periapical first radiographic image	2.8%	138	136	$722.88
D0330	Panoramic radiographic image	1.4%	21	21	$360.00
D0274	Bitewings - four radiographic images	<1%	13	13	$228.76
D0230	Intraoral - periapical each additional radiographic image	<1%	28	14	$142.80

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 officialMURPHY, JESSE (OWNER)