DRS Pavlik and Bargen DDS PC

DRS Pavlik and Bargen DDS PC was paid $27K by Medicaid between Oct 2020 and Feb 2022, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 46% of everything it billed.

33Billing provider infoDRS PAVLIK AND BARGEN DDS PC
COLUMBUS, NE 68601

33aNPI1710502125assigned 06/11/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$27K

24GClaims1,226

24DCodes billed6

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#91 of 201

Median peer was paid$21K

This provider vs. median1.3×

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
2020	252	$5K
2021	882	$20K
2022	92	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	46%	544	532	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	464	464	$10K
D1120	Dental cleaning, childProphylaxis - child	14%	150	150	$4K
D1110	Prophylaxis - adult	3.6%	30	30	$980.56
D0272	Bitewings - two radiographic images	<1%	25	25	$259.77
D0274	Bitewings - four radiographic images	<1%	13	13	$221.87

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 officialWEGENER, JORDAN (OFFICE MANAGER)