Dental
Walnut Creek Pediatric Dentistry
Walnut Creek Pediatric Dentistry was paid $234K by Medicaid between Jun 2021 and Aug 2023, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoWALNUT CREEK PEDIATRIC DENTISTRY
PAPILLION, NE 68046
PAPILLION, NE 68046
33aNPI1598908279assigned 04/11/2009
33bProvider typePediatric Dentist
28Total paid$234K
24GClaims12,313
24DCodes billed16
24AFirst – last monthJun 2021 – Aug 2023
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#29 of 52
Median peer was paid$292K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 4,312 | $81K | |
| 2022 | 5,711 | $112K | |
| 2023 | 2,290 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 1,959 | 1,959 | $53K |
| D1206 | Topical application of fluoride varnish | 22% | 2,030 | 2,013 | $51K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,968 | 1,968 | $45K |
| D0272 | Bitewings - two radiographic images | 7.1% | 1,447 | 1,446 | $17K |
| D0240 | 6.8% | 2,139 | 1,078 | $16K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 182 | 120 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 416 | 384 | $12K |
| D1999 | 4.7% | 1,155 | 1,107 | $11K | |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 155 | 155 | $7K |
| D1351 | Sealant - per tooth | 1.1% | 97 | 25 | $2K |
| D0274 | Bitewings - four radiographic images | 1.1% | 163 | 163 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | 15 | $1K |
4 more codes
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 officialWEBBER, BARRY (PRESIDENT, OWNER)