Dental
FCD Smiles, PC
FCD Smiles, PC was paid $1.74M by Medicaid between Jan 2022 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 35% of everything it billed.
33Billing provider infoFCD SMILES, PC
FREMONT, NE 68025
FREMONT, NE 68025
33aNPI1720749120assigned 01/07/2022
33bProvider typePediatric Dentist
28Total paid$1.74M
24GClaims48,404
24DCodes billed23
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#9 of 52
Median peer was paid$292K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2022 | 12,275 | $425K | |
| 2023 | 16,964 | $603K | |
| 2024incomplete | 19,165 | $713K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 35% | 4,680 | 992 | $608K |
| D1206 | Topical application of fluoride varnish | 13% | 8,468 | 8,303 | $223K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 7,306 | 7,164 | $220K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 6,877 | 6,752 | $175K |
| D1351 | Sealant - per tooth | 7.2% | 4,465 | 1,313 | $126K |
| D0272 | Bitewings - two radiographic images | 4.2% | 5,189 | 5,081 | $73K |
| D9420 | 3.0% | 583 | 561 | $53K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,636 | 1,469 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 678 | 413 | $45K |
| D0274 | Bitewings - four radiographic images | 1.7% | 1,447 | 1,405 | $29K |
| D1110 | Prophylaxis - adult | 1.4% | 634 | 625 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 659 | 642 | $17K |
11 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 580 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,174 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 184 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,830 | $11K |
| D0330 | Panoramic radiographic image | <1% | 508 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 161 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 155 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 75 | $7K |
| D2929 | <1% | 46 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 45 | $4K |
| D2330 | <1% | 24 | $1K |
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 officialMCKENNA, KEVIN (PRESIDENT)