Clinic
Smith & Hascall Family Dentistry LLC
Smith & Hascall Family Dentistry LLC was paid $25K by Medicaid between Sep 2020 and May 2023, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 40% of everything it billed.
33Billing provider infoSMITH & HASCALL FAMILY DENTISTRY LLC
OMAHA, NE 68135
OMAHA, NE 68135
33aNPI1629690318assigned 05/15/2020
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims1,004
24DCodes billed5
24AFirst – last monthSep 2020 – May 2023
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#21 of 41
Median peer was paid$25K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 134 | $3K | |
| 2021 | 475 | $11K | |
| 2022 | 383 | $10K | |
| 2023 | 12 | $320.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 40% | 401 | 400 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 335 | 335 | $8K |
| D1110 | Prophylaxis - adult | 18% | 132 | 132 | $4K |
| D0274 | Bitewings - four radiographic images | 6.5% | 93 | 93 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 43 | 43 | $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 officialSMITH, TYLER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Heritage Christian Counseling Ministries, INC. | Ashland, OH | $1.33M |
| Tyler L Smith Family Dentistry | Omaha, NE | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.