Dental
Good Life Smiles, PC
Good Life Smiles, PC was paid $7K by Medicaid between Aug 2024 and Nov 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.
33Billing provider infoGOOD LIFE SMILES, PC
OMAHA, NE 68022
OMAHA, NE 68022
33aNPI1821612797assigned 06/05/2020
33bProvider typePediatric Dentist
28Total paid$7K
24GClaims239
24DCodes billed4
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#48 of 52
Median peer was paid$292K
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 | |
|---|---|---|---|
| 2024incomplete | 239 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 43% | 88 | 88 | $3K |
| D1206 | Topical application of fluoride varnish | 35% | 92 | 92 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 46 | 46 | $1K |
| D0272 | Bitewings - two radiographic images | 3.3% | 13 | 13 | $228.80 |
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 officialHARBERT, PETER (OWNER/PEDIATRIC DENTIST)