Dental
Camp Smile Nebraska LLC
Camp Smile Nebraska LLC was paid $295K by Medicaid between Nov 2023 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoCAMP SMILE NEBRASKA LLC
SCHUYLER, NE 68661
SCHUYLER, NE 68661
33aNPI1659143923assigned 10/30/2023
33bProvider typePediatric Dentist
28Total paid$295K
24GClaims8,788
24DCodes billed20
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#26 of 52
Median peer was paid$292K
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 | |
|---|---|---|---|
| 2023 | 177 | $3K | |
| 2024incomplete | 8,611 | $291K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 468 | 202 | $45K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 270 | 76 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,257 | 1,184 | $40K |
| D1206 | Topical application of fluoride varnish | 13% | 1,487 | 1,381 | $38K |
| D1351 | Sealant - per tooth | 12% | 1,085 | 282 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,070 | 995 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 406 | 328 | $15K |
| D0272 | Bitewings - two radiographic images | 4.5% | 847 | 800 | $13K |
| D1110 | Prophylaxis - adult | 2.6% | 212 | 189 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 205 | 195 | $6K |
| D0274 | Bitewings - four radiographic images | 1.9% | 254 | 231 | $5K |
| D0330 | Panoramic radiographic image | 1.3% | 152 | 140 | $4K |
8 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 78 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 547 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 364 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 26 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $803.88 |
| D1330 | 0% | 17 | $0.00 | |
| D0603 | 0% | 13 | $0.00 |
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 officialPOTZ, LAURIE (RCM SENIOR SPECIALIST)