OMNI DENTAL CENTRES, LLP

NPI: 1659435360 · COUNCIL BLUFFS, IA 51503 · General Practice Dentistry · NPI assigned 12/20/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JONES, DAVID controls 20+ related entities in our dataset. Read more

$29K

Total Medicaid Paid

1,488

Total Claims

1,402

Beneficiaries

Codes Billed

2018-01

First Month

2018-11

Last Month

Provider Details

Other providers sharing the same authorized official: JONES, DAVID

Provider	City	State	Total Paid
ALLEGIANT HOME CARE, LLC	BROOKLYN	NY	$15.57M
SMALL BITES	PINE BLUFF	AR	$9.62M
OAKS ON THE BAY, LLC	CLEARWATER	FL	$6.22M
NORTH CADDO HOSPITAL SERVICE DISTRICT	PLAIN DEALING	LA	$4.90M
NORTH CADDO HOSPITAL SERVICE DISTRICT	VIVIAN	LA	$3.42M
SMALL BITES	LITTLE ROCK	AR	$2.24M
FREUDENTHAL HOME HEALTH, LLC	SAINT JOSEPH	MO	$2.08M
FREEDOM HOME HEALTH CARE, INC.	ANKENY	IA	$662K
NORTH CADDO HOSPITAL SERVICE DISTRICT	VIVIAN	LA	$610K
DAVID L JONES DDS PC	ROANOKE	VA	$571K
NORTH CADDO HOSPITAL SERVICE DISTRICT	VIVIAN	LA	$396K
WELLSPRING FAMILY & COMMUNITY INSTITUTE, LLC	HOUSTON	TX	$233K
NORTHWEST EYE ASSOCIATES PC	WOODWARD	OK	$233K
JONES FAMILY EYECARE LLC	BRANDON	SD	$113K
ALLEGIANT HOME CARE	NEW YORK	NY	$48K
NORTH CADDO ANESTHESIA BILLING	VIVIAN	LA	$16K
SCOTT EYE CARE P L L C	SHATTUCK	OK	$7K
PULMONARY SPECIALISTS OF TYLER PA	TYLER	TX	$6K
GEORGIA PEDIATRIC CARDIOLOGY	STOCKBRIDGE	GA	$2K
DLDC, INC	OMAHA	NE	$808.11

Year	Claims	Total Paid
2018	1,488	$29K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	249	233	$8K
D0120	Periodic oral evaluation - established patient	478	451	$8K
D1206	Topical application of fluoride varnish	504	479	$7K
D1120	Prophylaxis - child	112	108	$3K
D0274	Bitewings - four radiographic images	88	82	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	20	12	$991.61
D4910		12	12	$736.92
D0150	Comprehensive oral evaluation - new or established patient	13	13	$269.78
D0220	Intraoral - periapical first radiographic image	12	12	$100.00