Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › BELLEVUE › TODAY'S DENTAL BELLEVUE, LLC

TODAY'S DENTAL BELLEVUE, LLC

NPI: 1710523097 · BELLEVUE, NE 68005 · General Practice Dentistry · NPI assigned 11/21/2019

$1K
Total Medicaid Paid
43
Total Claims
43
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialRISING, BRENT (OWNER,MANAGER)
NPI Enumeration Date11/21/2019

Related Entities

Other providers sharing the same authorized official: RISING, BRENT

ProviderCityStateTotal Paid
TODAY'S DENTAL FREMONT, LLC FREMONT NE $37K
TODAY'S DENTAL ELKHORN LLC ELKHORN NE $10K
TODAY'S DENTISTRY AT AKSARBEN, LLC OMAHA NE $8K
TODAY'S DENTAL TRANQUILITY PARK OMAHA NE $3K
TODAY'S DENTAL 74TH PLAZA, LLC OMAHA NE $333.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 13 13 $608.66
D0150 Comprehensive oral evaluation - new or established patient 18 18 $412.02
D1206 Topical application of fluoride varnish 12 12 $304.72