Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - OMAHA, LLC

NPI: 1598243511 · OMAHA, NE 68124 · Pediatric Dentist · NPI assigned 08/01/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, DAVID controls 20+ related entities in our dataset. Read more

$2.47M
Total Medicaid Paid
76,869
Total Claims
63,959
Beneficiaries
23
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, DAVID (PRACTICE ADMINISTRATOR)
NPI Enumeration Date08/01/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, DAVID

ProviderCityStateTotal Paid
PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC PALM SPRINGS CA $19.19M
REHAB P.C. EVANSVILLE IN $2.42M
NAVOS SEATTLE WA $1.85M
SPRING VALLEY POST ACUTE LLC VICTORVILLE CA $1.66M
KNOLLS WEST POST ACUTE LLC VICTORVILLE CA $1.30M
THE GLORY HOUSE OF SIOUX FALLS SIOUX FALLS SD $543K
ADVANCE ORTHOTIC & PROSTHETIC SERVICES, INC. AUBURN ME $321K
ASSOCIATES IN FAMILY MEDICINE, P.A. KANSAS CITY KS $221K
NAVOS SEATTLE WA $140K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO INC. LAKEWOOD CO $128K
HARLAN IND. SCHOOLS HARLAN KY $84K
USACS CRITICAL CARE MEDICINE SERVICES OF TEXAS, PLLC CEDAR PARK TX $47K
JACKSONVILLE MOBILE IMAGING SERVICES INC JACKSONVILLE FL $45K
HEALOGICS SPECIALTY PHYSICIANS OF NEVADA-JOHNSON, PLLC CARSON CITY NV $44K
NOW CARE P.C EVANSVILLE IN $38K
MARLBORO EYE CARE ASSOCIATES, LLC BENNETTSVILLE SC $28K
USACS INTEGRATED ACUTE CARE SERVICES OF TEXAS, PLLC CEDAR PARK TX $16K
USACS EMERGENCY MEDICINE SERVICES OF TEXAS, PLLC SAN ANTONIO TX $2K
VALLEY WEST POST ACUTE LLC WILLIAMS CA $1K
CENTER FOR SIGHT LLC FALL RIVER MA $863.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 498 $10K
2019 2,750 $63K
2020 4,580 $138K
2021 12,024 $339K
2022 16,322 $479K
2023 17,464 $519K
2024 23,231 $920K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 3,535 1,017 $490K
D1206 Topical application of fluoride varnish 14,487 14,154 $410K
D1120 Prophylaxis - child 11,723 11,650 $390K
D0120 Periodic oral evaluation - established patient 8,139 8,089 $226K
D1351 Sealant - per tooth 7,152 2,074 $223K
D0272 Bitewings - two radiographic images 5,936 5,883 $95K
D0145 Oral evaluation for a patient under three years of age 1,950 1,941 $95K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,241 2,036 $77K
D0150 Comprehensive oral evaluation - new or established patient 2,714 2,692 $77K
D1999 7,089 6,720 $71K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 669 402 $62K
D2391 Resin-based composite - one surface, posterior, primary or permanent 792 512 $58K
D7140 Extraction, erupted tooth or exposed root 755 356 $56K
D0240 5,017 2,210 $39K
D0330 Panoramic radiographic image 845 835 $31K
D1110 Prophylaxis - adult 593 590 $22K
D9420 147 147 $13K
D0274 Bitewings - four radiographic images 600 591 $13K
D0220 Intraoral - periapical first radiographic image 1,208 1,168 $8K
D1354 473 187 $5K
D0230 Intraoral - periapical each additional radiographic image 746 653 $4K
D1510 16 12 $2K
D0140 Limited oral evaluation - problem focused 42 40 $1K