Dental
Pediatric Dentistry of Nebraska
Pediatric Dentistry of Nebraska was paid $3.57M by Medicaid between May 2019 and Dec 2024, across 24 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 17% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF NEBRASKA
SCOTTSBLUFF, NE 69361
SCOTTSBLUFF, NE 69361
33aNPI1508375023assigned 09/27/2017
33bProvider typePediatric Dentist
28Total paid$3.57M
24GClaims127,579
24DCodes billed24
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#5 of 52
Median peer was paid$292K
This provider vs. median12×
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 | 200 | $7K | |
| 2020 | 7,294 | $189K | |
| 2021 | 27,959 | $733K | |
| 2022 | 31,508 | $864K | |
| 2023 | 27,704 | $731K | |
| 2024incomplete | 32,914 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 17% | 21,093 | 21,022 | $591K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 18,220 | 18,162 | $572K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 18,851 | 18,797 | $507K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 2,704 | 1,926 | $245K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 1,794 | 642 | $231K |
| D1351 | Sealant - per tooth | 6.3% | 8,080 | 2,157 | $225K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 2,929 | 2,024 | $201K |
| D1110 | Prophylaxis - adult | 4.7% | 4,119 | 4,116 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 14,552 | 12,328 | $138K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 14,323 | 14,169 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 3,661 | 3,650 | $98K |
| D0330 | Panoramic radiographic image | 2.6% | 2,303 | 2,301 | $92K |
12 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 5,480 | $87K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 3,168 | $81K |
| D0274 | Bitewings - four radiographic images | 2.3% | 3,425 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 860 | $65K |
| D9420 | 1.1% | 398 | $39K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,293 | $34K |
| D1354 | <1% | 213 | $3K | |
| D2332 | <1% | 21 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $2K |
| D2330 | <1% | 16 | $1K | |
| D1999 | <1% | 27 | $262.50 | |
| D3120 | <1% | 28 | $30.48 |
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 officialJONES, JONNETTE (OFFICE MANAGER)