Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC

Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC was paid $2.47M by Medicaid between Sep 2018 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - OMAHA, LLC
OMAHA, NE 68124
33aNPI1598243511assigned 08/01/2018
33bProvider typePediatric Dentist
28Total paid$2.47M
24GClaims76,869
24DCodes billed23
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Nebraska

Rank by total paid#8 of 52
Median peer was paid$292K
This provider vs. median8.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JOHNSON, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018498$10K
20192,750$63K
20204,580$138K
202112,024$339K
202216,322$479K
202317,464$519K
2024incomplete23,231$920K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 20% 3,535 1,017 $490K
D1206 Topical application of fluoride varnish 17% 14,487 14,154 $410K
D1120 Dental cleaning, childProphylaxis - child 16% 11,723 11,650 $390K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.2% 8,139 8,089 $226K
D1351 Sealant - per tooth 9.1% 7,152 2,074 $223K
D0272 Bitewings - two radiographic images 3.9% 5,936 5,883 $95K
D0145 Oral evaluation for a patient under three years of age 3.8% 1,950 1,941 $95K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.1% 2,241 2,036 $77K
D0150 Comprehensive oral evaluation - new or established patient 3.1% 2,714 2,692 $77K
D1999 2.9% 7,089 6,720 $71K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.5% 669 402 $62K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.4% 792 512 $58K
11 more codes
D7140 Extraction, erupted tooth or exposed root 2.2% 755 $56K
D0240 1.6% 5,017 $39K
D0330 Panoramic radiographic image 1.3% 845 $31K
D1110 Prophylaxis - adult <1% 593 $22K
D9420 <1% 147 $13K
D0274 Bitewings - four radiographic images <1% 600 $13K
D0220 Intraoral - periapical first radiographic image <1% 1,208 $8K
D1354 <1% 473 $5K
D0230 Intraoral - periapical each additional radiographic image <1% 746 $4K
D1510 <1% 16 $2K
D0140 Limited oral evaluation - problem focused <1% 42 $1K

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 officialJOHNSON, DAVID (PRACTICE ADMINISTRATOR)
Same official

Other billing entities under JOHNSON, DAVID

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.