NE SPECIALTY DENTAL SERVICES LLC
NPI: 1790449247
· OMAHA, NE 68164
· Oral and Maxillofacial Surgery Clinic/Center
$521K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15,009 |
$369K |
| 2024 |
6,269 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
4,956 |
4,846 |
$125K |
| D1120 |
|
4,421 |
4,332 |
$124K |
| D0120 |
|
4,288 |
4,205 |
$105K |
| D1351 |
|
3,471 |
610 |
$96K |
| D0272 |
|
2,111 |
2,071 |
$28K |
| D1999 |
|
1,183 |
1,165 |
$12K |
| D2392 |
|
116 |
64 |
$10K |
| D1110 |
|
156 |
152 |
$6K |
| D9230 |
|
180 |
174 |
$6K |
| D0330 |
|
117 |
117 |
$4K |
| D0145 |
|
40 |
40 |
$2K |
| D2391 |
|
20 |
14 |
$1K |
| D9420 |
|
12 |
12 |
$1K |
| D0274 |
|
39 |
39 |
$931.44 |
| D0220 |
|
123 |
119 |
$767.62 |
| D0240 |
|
45 |
24 |
$343.22 |