NPI: 1669770442 · OMAHA, NE 68114 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 486 | $10K |
| 2019 | 656 | $17K |
| 2020 | 1,597 | $39K |
| 2021 | 1,432 | $40K |
| 2022 | 1,705 | $30K |
| 2023 | 1,574 | $27K |
| 2024 | 562 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 979 | 979 | $41K | |
| D0120 | 1,472 | 1,472 | $36K | |
| D1206 | 1,157 | 1,157 | $36K | |
| D1351 | 1,647 | 263 | $33K | |
| D1110 | 141 | 141 | $6K | |
| D2392 | 50 | 25 | $3K | |
| D0272 | 346 | 345 | $3K | |
| D0603 | 374 | 369 | $3K | |
| D0251 | 101 | 101 | $3K | |
| D1208 | 118 | 118 | $2K | |
| D0274 | 192 | 192 | $2K | |
| D2391 | 43 | 27 | $2K | |
| D0602 | 115 | 115 | $1K | |
| D0250 | 56 | 56 | $560.00 | |
| D0150 | 13 | 13 | $260.00 | |
| D0220 | 15 | 15 | $145.00 | |
| D0230 | 13 | 13 | $104.00 | |
| D0601 | 12 | 12 | $90.00 | |
| D1330 | 584 | 571 | $0.00 | |
| D1310 | 584 | 571 | $0.00 |