Dental
Drahota, Lumir
Drahota, Lumir was paid $1K by Medicaid between Jul 2018 and May 2022, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoDRAHOTA, LUMIR
FREMONT, NE 68025
FREMONT, NE 68025
33aNPI1821086075assigned 10/12/2005
33bProvider typeDentist
28Total paid$1K
24GClaims51
24DCodes billed2
24AFirst – last monthJul 2018 – May 2022
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#101 of 119
Median peer was paid$24K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 13 | $242.00 | |
| 2022 | 38 | $864.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 25 | 25 | $560.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 26 | 26 | $545.55 |
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.