Dental
Ide, Amber
Ide, Amber was paid $23K by Medicaid between Jul 2020 and Jun 2021, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 32% of everything it billed.
33Billing provider infoIDE, AMBER
COZAD, NE 69130
COZAD, NE 69130
33aNPI1487093381assigned 06/24/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims815
24DCodes billed8
24AFirst – last monthJul 2020 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#98 of 201
Median peer was paid$21K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 336 | $10K | |
| 2021 | 479 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 32% | 221 | 220 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 188 | 188 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 123 | 123 | $5K |
| D1110 | Prophylaxis - adult | 8.5% | 40 | 40 | $2K |
| D1999 | 7.9% | 207 | 153 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.5% | 12 | 12 | $348.84 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 12 | 12 | $302.94 |
| D0272 | Bitewings - two radiographic images | 1.0% | 12 | 12 | $238.68 |
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.