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PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - OMAHA, LLC
PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - OMAHA, LLC
NPI: 1598243511
· OMAHA, NE 68124
· 1223P0221X
$2.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
3,535 |
1,017 |
$490K |
| D1206 |
|
14,487 |
14,154 |
$410K |
| D1120 |
|
11,723 |
11,650 |
$390K |
| D0120 |
|
8,139 |
8,089 |
$226K |
| D1351 |
|
7,152 |
2,074 |
$223K |
| D0272 |
|
5,936 |
5,883 |
$95K |
| D0145 |
|
1,950 |
1,941 |
$95K |
| D9230 |
|
2,241 |
2,036 |
$77K |
| D0150 |
|
2,714 |
2,692 |
$77K |
| D1999 |
|
7,089 |
6,720 |
$71K |
| D2392 |
|
669 |
402 |
$62K |
| D2391 |
|
792 |
512 |
$58K |
| D7140 |
|
755 |
356 |
$56K |
| D0240 |
|
5,017 |
2,210 |
$39K |
| D0330 |
|
845 |
835 |
$31K |
| D1110 |
|
593 |
590 |
$22K |
| D9420 |
|
147 |
147 |
$13K |
| D0274 |
|
600 |
591 |
$13K |
| D0220 |
|
1,208 |
1,168 |
$8K |
| D1354 |
|
473 |
187 |
$5K |
| D0230 |
|
746 |
653 |
$4K |
| D1510 |
|
16 |
12 |
$2K |
| D0140 |
|
42 |
40 |
$1K |