Pediatric Dental Arts, P.C.

Pediatric Dental Arts, P.C. was paid $43K by Medicaid between Jan 2018 and Mar 2019, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL ARTS, P.C.
LINCOLN, NE 68510

33aNPI1912260019assigned 06/22/2012

33bProvider typePediatric Dentist

28Total paid$43K

24GClaims2,089

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Pediatric Dentist providers in Nebraska

Rank by total paid#39 of 52

Median peer was paid$292K

This provider vs. median0.1×

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	1,701	$36K
2019	388	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	484	484	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	523	523	$11K
D1208	Topical application of fluoride, excluding varnish	23%	582	530	$10K
D0272	Bitewings - two radiographic images	10.0%	331	331	$4K
D2930	Prefabricated stainless steel crown - primary tooth	5.0%	23	12	$2K
D1351	Sealant - per tooth	2.8%	51	24	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.6%	45	43	$1K
D0145	Oral evaluation for a patient under three years of age	1.0%	12	12	$444.00
D0220	Intraoral - periapical first radiographic image	<1%	38	38	$222.00

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 officialSVEEN, MELISSA (PRESIDENT)