Dental
Alliance Family Dental, LLC
Alliance Family Dental, LLC was paid $560K by Medicaid between Jul 2019 and Dec 2023, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoALLIANCE FAMILY DENTAL, LLC
ALLIANCE, NE 69301
ALLIANCE, NE 69301
33aNPI1477105690assigned 07/09/2019
33bProvider typeDentist
28Total paid$560K
24GClaims19,408
24DCodes billed13
24AFirst – last monthJul 2019 – Dec 2023
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#12 of 119
Median peer was paid$24K
This provider vs. median23×
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 | 1,373 | $38K | |
| 2020 | 3,117 | $85K | |
| 2021 | 5,947 | $129K | |
| 2022 | 4,952 | $121K | |
| 2023 | 4,019 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,263 | 714 | $108K |
| D1206 | Topical application of fluoride varnish | 17% | 3,206 | 3,186 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,388 | 3,386 | $92K |
| D1110 | Prophylaxis - adult | 11% | 1,490 | 1,490 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,825 | 1,825 | $59K |
| D0274 | Bitewings - four radiographic images | 8.3% | 1,944 | 1,944 | $46K |
| D1999 | 7.4% | 4,189 | 3,875 | $41K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 323 | 221 | $26K |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,042 | 1,042 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 439 | 432 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 130 | 130 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 156 | 145 | $977.20 |
1 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $561.84 |
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 officialCANNON, CADE (OWNER)