Maple Park Dental Associates PC

Maple Park Dental Associates PC was paid $11K by Medicaid between Aug 2018 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 72% of everything it billed.

33Billing provider infoMAPLE PARK DENTAL ASSOCIATES PC
NORTH PLATTE, NE 69101

33aNPI1902059397assigned 10/29/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$11K

24GClaims540

24DCodes billed7

24AFirst – last monthAug 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#116 of 201

Median peer was paid$21K

This provider vs. median0.5×

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	25	$550.00
2019	65	$1K
2020	26	$475.29
2021	82	$2K
2022	17	$385.35
2023	96	$2K
2024incomplete	229	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	72%	372	360	$8K
D1206	Topical application of fluoride varnish	11%	50	49	$1K
D1110	Prophylaxis - adult	10%	38	30	$1K
D0274	Bitewings - four radiographic images	2.2%	13	13	$247.00
D1120	Dental cleaning, childProphylaxis - child	2.1%	12	12	$234.00
D0220	Intraoral - periapical first radiographic image	1.5%	28	27	$171.15
D0230	Intraoral - periapical each additional radiographic image	1.1%	27	12	$124.64

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 officialLASHLEY, LIBBY (CLINIC COORDINATOR)