Clinic
Holdrege Dental Arts
Holdrege Dental Arts was paid $14K by Medicaid between Mar 2022 and Sep 2023, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 52% of everything it billed.
33Billing provider infoHOLDREGE DENTAL ARTS
HOLDREGE, NE 68949
HOLDREGE, NE 68949
33aNPI1598426652assigned 12/31/2021
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims549
24DCodes billed4
24AFirst – last monthMar 2022 – Sep 2023
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#26 of 41
Median peer was paid$25K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 378 | $9K | |
| 2023 | 171 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 52% | 285 | 284 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 167 | 167 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 84 | 84 | $2K |
| D1110 | Prophylaxis - adult | 3.3% | 13 | 13 | $462.24 |
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 officialSMITH, JILL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jefferson Local Schools | West Jefferson, OH | $172K |
| Easthampton Chiropractic Center LLC | Easthampton, MA | $25K |
| Easthampton Chiropractic Center LLC | Easthampton, MA | $23K |
| Mahendra Kalra MD | Richmond, IN | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.