Dental
Revielle, Jamie
Revielle, Jamie was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoREVIELLE, JAMIE
OMAHA, NE 68116
OMAHA, NE 68116
33aNPI1700014354assigned 06/22/2009
33bProvider typePediatric Dentist
28Total paid$150K
24GClaims6,460
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#33 of 52
Median peer was paid$292K
This provider vs. median0.5×
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 | 2,222 | $60K | |
| 2019 | 1,681 | $41K | |
| 2020 | 853 | $15K | |
| 2021 | 1,607 | $32K | |
| 2024incomplete | 97 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 520 | 161 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,262 | 1,248 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,179 | 1,171 | $22K |
| D1206 | Topical application of fluoride varnish | 13% | 1,638 | 1,542 | $19K |
| D0272 | Bitewings - two radiographic images | 6.2% | 750 | 742 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 182 | 83 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 148 | 146 | $6K |
| D1351 | Sealant - per tooth | 3.5% | 285 | 125 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 268 | 263 | $2K |
| D0240 | 1.3% | 156 | 111 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 60 | 60 | $2K |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $357.39 |
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.