Thomas O Rudersdorf LLC

Thomas O Rudersdorf LLC was paid $791.35 by Medicaid between Jan 2018 and Jul 2023, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoTHOMAS O RUDERSDORF LLC
BELLEVUE, NE 68123

33aNPI1972971125assigned 09/04/2015

33bProvider typeDentist

28Total paid$791.35

24GClaims38

24DCodes billed1

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Dentist providers in Nebraska

Rank by total paid#104 of 119

Median peer was paid$24K

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
2018	12	$264.00
2022	12	$287.52
2023	14	$239.83

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	38	38	$791.35

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 officialRUDERSDORF, THOMAS (OWNER)