Dental
Pedersen Dental
Pedersen Dental was paid $278K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoPEDERSEN DENTAL
SCHUYLER, NE 68661
SCHUYLER, NE 68661
33aNPI1750456950assigned 11/22/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$278K
24GClaims11,539
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#30 of 201
Median peer was paid$21K
This provider vs. median13×
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 | 1,717 | $41K | |
| 2019 | 1,375 | $30K | |
| 2020 | 1,166 | $26K | |
| 2021 | 1,881 | $41K | |
| 2022 | 1,951 | $45K | |
| 2023 | 2,152 | $60K | |
| 2024incomplete | 1,297 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 2,429 | 2,407 | $56K |
| D1206 | Topical application of fluoride varnish | 18% | 2,153 | 2,068 | $51K |
| D1110 | Prophylaxis - adult | 18% | 1,406 | 1,392 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,451 | 1,437 | $39K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.1% | 277 | 144 | $17K |
| D1999 | 5.6% | 1,647 | 1,492 | $16K | |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 202 | 201 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 414 | 412 | $10K |
| D2140 | 3.5% | 187 | 111 | $10K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 399 | 394 | $8K |
| D0272 | Bitewings - two radiographic images | 1.6% | 335 | 335 | $5K |
| D0240 | 1.3% | 521 | 277 | $4K |
3 more codes
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 officialPEDERSEN, TODD (PRESIDENT)