Dental
Pedodontics, PC
Pedodontics, PC was paid $833K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoPEDODONTICS, PC
OMAHA, NE 68144
OMAHA, NE 68144
33aNPI1629072954assigned 06/02/2005
33bProvider typePediatric Dentist
28Total paid$833K
24GClaims34,352
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#18 of 52
Median peer was paid$292K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 3,334 | $67K | |
| 2019 | 4,355 | $97K | |
| 2020 | 2,904 | $60K | |
| 2021 | 4,865 | $94K | |
| 2022 | 4,970 | $126K | |
| 2023 | 5,686 | $156K | |
| 2024incomplete | 8,238 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 6,792 | 6,614 | $188K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 7,256 | 7,051 | $166K |
| D1206 | Topical application of fluoride varnish | 19% | 6,731 | 6,376 | $160K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 711 | 379 | $56K |
| D1351 | Sealant - per tooth | 4.7% | 1,456 | 400 | $39K |
| D0272 | Bitewings - two radiographic images | 4.6% | 2,840 | 2,774 | $38K |
| D1110 | Prophylaxis - adult | 3.7% | 897 | 845 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 1,309 | 1,267 | $28K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 174 | 37 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 905 | 848 | $22K |
| D1999 | 2.4% | 2,209 | 2,064 | $20K | |
| D0330 | Panoramic radiographic image | 1.9% | 461 | 443 | $16K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 179 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 327 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 147 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 973 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 269 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 656 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 38 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 22 | $2K |
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 officialDANA, CARMEN (PRESIDENT)