Dental
South Lincoln Dental LLC
South Lincoln Dental LLC was paid $3K by Medicaid between Oct 2018 and Oct 2019, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 37% of everything it billed.
33Billing provider infoSOUTH LINCOLN DENTAL LLC
LINCOLN, NE 68510
LINCOLN, NE 68510
33aNPI1922525450assigned 08/25/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims146
24DCodes billed4
24AFirst – last monthOct 2018 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#139 of 201
Median peer was paid$21K
This provider vs. median0.2×
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 | 15 | $308.00 | |
| 2019 | 131 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 37% | 55 | 55 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 52 | 52 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 27 | 27 | $572.00 |
| D1110 | Prophylaxis - adult | 12% | 12 | 12 | $403.92 |
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 officialGALL, BONNIE (CLINICAL COORDINATOR)
Parent organizationSOUTH LINCOLN DENTAL LLC
| Provider | Location | Paid |
|---|---|---|
| Crete Family Dental, LLC | Crete, NE | $51K |
| Northeast Family Dental LLC | Lincoln, NE | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.