Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC DENTAL ARTS, P.C.

NPI: 1912260019 · LINCOLN, NE 68510 · Pediatric Dentist · NPI assigned 06/22/2012

$43K
Total Medicaid Paid
2,089
Total Claims
1,997
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialSVEEN, MELISSA (PRESIDENT)
NPI Enumeration Date06/22/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,701 $36K
2019 388 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 484 484 $12K
D0120 Periodic oral evaluation - established patient 523 523 $11K
D1208 Topical application of fluoride, excluding varnish 582 530 $10K
D0272 Bitewings - two radiographic images 331 331 $4K
D2930 Prefabricated stainless steel crown - primary tooth 23 12 $2K
D1351 Sealant - per tooth 51 24 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 45 43 $1K
D0145 Oral evaluation for a patient under three years of age 12 12 $444.00
D0220 Intraoral - periapical first radiographic image 38 38 $222.00