Dental
Willow Dental LLC
Willow Dental LLC was paid $74K by Medicaid between Dec 2021 and Dec 2024, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 23% of everything it billed.
33Billing provider infoWILLOW DENTAL LLC
OMAHA, NE 68104
OMAHA, NE 68104
33aNPI1477227551assigned 08/03/2021
33bProvider typeDentist
28Total paid$74K
24GClaims3,812
24DCodes billed13
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#38 of 119
Median peer was paid$24K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 201 | $5K | |
| 2022 | 1,120 | $24K | |
| 2023 | 1,293 | $25K | |
| 2024incomplete | 1,198 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 23% | 699 | 681 | $17K |
| D1110 | Prophylaxis - adult | 16% | 350 | 344 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 484 | 479 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 184 | 182 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 245 | 243 | $6K |
| D0274 | Bitewings - four radiographic images | 6.1% | 402 | 395 | $4K |
| D0140 | Limited oral evaluation - problem focused | 5.0% | 173 | 168 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 648 | 609 | $3K |
| D0330 | Panoramic radiographic image | 2.9% | 236 | 229 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 25 | 15 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 58 | 58 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 35 | 33 | $950.72 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 273 | $661.74 |
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 officialDAVIS, LILY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Wagoner Family Dental, PLLC | Wagoner, OK | $187K |
| Hooyah Health Center LLC | Hillsboro, OR | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.