Dental
Northeast Family Dental LLC
Northeast Family Dental LLC was paid $10K by Medicaid between Jan 2018 and Aug 2018, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoNORTHEAST FAMILY DENTAL LLC
LINCOLN, NE 68505
LINCOLN, NE 68505
33aNPI1578938122assigned 12/08/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims494
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#122 of 201
Median peer was paid$21K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 494 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 147 | 147 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 71 | 71 | $2K |
| D1110 | Prophylaxis - adult | 17% | 51 | 51 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 67 | 67 | $1K |
| D0274 | Bitewings - four radiographic images | 7.1% | 38 | 38 | $684.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 29 | 29 | $638.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 45 | 45 | $252.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 46 | 39 | $215.00 |
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 officialGALL, BONNIE (OFFICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Crete Family Dental, LLC | Crete, NE | $51K |
| South Lincoln Dental LLC | Lincoln, NE | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.