3D Dental PC

3D Dental PC was paid $10K by Medicaid between Jun 2019 and Sep 2021, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider info3D DENTAL PC
OMAHA, NE 68130

33aNPI1538172192assigned 08/14/2006

33bProvider typeDentist

28Total paid$10K

24GClaims788

24DCodes billed9

24AFirst – last monthJun 2019 – Sep 2021

Compared with peers

Next to other Dentist providers in Nebraska

Rank by total paid#71 of 119

Median peer was paid$24K

This provider vs. median0.4×

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	31	$620.40
2020	443	$6K
2021	314	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	198	197	$4K
D1110	Prophylaxis - adult	12%	40	40	$1K
D0230	Intraoral - periapical each additional radiographic image	10%	231	119	$1K
D0220	Intraoral - periapical first radiographic image	7.9%	147	137	$820.96
D1999		6.7%	71	57	$700.00
D1120	Dental cleaning, childProphylaxis - child	6.2%	24	24	$642.84
D0274	Bitewings - four radiographic images	5.9%	33	33	$612.93
D1208	Topical application of fluoride, excluding varnish	5.9%	27	26	$612.54
D0140	Limited oral evaluation - problem focused	3.2%	17	15	$336.60

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 officialDEWISPELARE, DEAN (OWNER PRESIDENT)