Benson, Andrew

Benson, Andrew was paid $4K by Medicaid between Mar 2018 and May 2019, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 64% of everything it billed.

33Billing provider infoBENSON, ANDREW
GRAND ISLAND, NE 68803

33aNPI1710249859assigned 06/14/2012

33bProvider typeDentist

28Total paid$4K

24GClaims200

24DCodes billed3

24AFirst – last monthMar 2018 – May 2019

Compared with peers

Next to other Dentist providers in Nebraska

Rank by total paid#88 of 119

Median peer was paid$24K

This provider vs. median0.2×

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	154	$3K
2019	46	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	64%	133	132	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	52	52	$1K
D1120	Dental cleaning, childProphylaxis - child	9.2%	15	15	$390.00

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.