Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Chidren's Dentistry Of South Omaha, LLC (NPI 1134493083)

Field	Value
Entity Type	Organization
Organization	Chidren's Dentistry Of South Omaha, LLC
Address	2424 Oak St
City	Omaha
State	NE
ZIP	68105
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 23, 2012

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $8.6M in lifetime Medicaid revenue, indicating it operates effectively as a Medicaid-focused dental practice rather than a dual-payer provider. The absence of Medicare activity combined with substantial Medicaid receipts makes its commercial exposure and reimbursement risk concentrated within Medicaid policy and rate schedules.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes (D1351, D1206, D2930) account for 49.1% of the provider's total Medicaid revenue. Individually those codes are large line items on the ledger—D1351 is $1.9M revenue (22.4%), D1206 is $1.2M revenue (13.5%), and D2930 is $1.1M revenue (13.2%)—so changes to reimbursement or utilization of any one of these codes would materially affect overall revenue.

The code mix strongly reflects a high-volume pediatric preventive dentistry model: D1351 (sealant - per tooth), D1206 (topical fluoride treatment), D1120 (Prophylaxis–child, $1M revenue; 37.3K claims) and D0120 (Periodic oral evaluation, $892.7K revenue; 37.2K claims) together indicate routine, preventive-focused care pathways for children. High counts for routine prophylaxis and periodic evaluations suggest frequent, repeat outpatient visits consistent with pediatric dental clinics that emphasize preventive interventions.

State-level competitive standing is dominant for multiple preventive and imaging codes: D1351 ranks #2 of 129 providers in-state (99th percentile; extreme outlier) and D1206 ranks #4 of 317 (99th percentile; extreme outlier), signaling the practice is an outlier in sealant and fluoride volume versus peers. Additional high-ranking codes such as D0274 (rank #2 of 251; 100th percentile; extreme outlier) and D0230 (rank #2 of 141; 99th percentile; extreme outlier) reinforce that this provider is a major statewide player for several pediatric dental services.

Imaging and ancillary service volumes are also unusually large, consistent with high patient throughput: D0230 shows 40.9K claims and $204.6K revenue (2.4% of Medicaid revenue) and D0220 shows 23.1K claims and $161.7K revenue (1.9%), both with top-state ranks and labeled extreme outliers. These radiographic volumes, together with the very large counts for preventive codes, point to an operational model with a steady stream of short, procedure-driven encounters rather than low-frequency specialty procedures.

Although the taxonomy is Pediatric Dentistry, the practice also bills adult prophylaxis (D1110, $296.4K revenue; 8K claims) and other mixed-age codes, indicating some cross-age service mix. D1110 ranks #3 of 308 providers in-state (99th percentile; extreme outlier), so while pediatric care dominates, the provider has a nontrivial adult care footprint relative to peers.

Across many top codes the provider is labeled an "extreme outlier" or "notably above typical state volume" (for example D1351, D1206, D1120, D0120, D0274 and others), a pattern that shows systematically higher utilization versus in-state peers rather than isolated spikes. That consistent outlier status across preventive, evaluation, and imaging codes suggests the practice either serves a concentrated Medicaid population with high preventive care needs or operates at a scale atypical for most Nebraska dental providers.

The NPI was enumerated on 2012-02-23 (~14 years ago), indicating the provider has an established presence in the market. Given the concentration of revenue in a few high-volume Medicaid codes (the top three account for 49.1%), the practice may be particularly sensitive to state Medicaid policy, coverage changes, or rate adjustments affecting sealants, topical fluoride, and the unnamed D2930 code.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	71,530	$30	$1.9M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	46,570	$30	$1.2M
D2930	N/A	9,240	$120	$1.1M
D1120	Prophylaxis–child	37,330	$30	$1M
D0120	Periodic oral evaluation - established patient	37,200	$20	$892.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,010	$40	$296.4K
D2392	Post 2 surface resin‑based composite	3,360	$80	$282.1K
D0230	Intraoral - periapical each additional radiographic image	40,920	$10	$204.6K
D9230	N/A	6,010	$30	$180.2K
D0272	N/A	12,410	$10	$173.8K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nebraska Distribution

Chidren's Dentistry Of South Omaha, LLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	50	540	$120	$269K
D1351	Sealant - per tooth	2	130	460	$30	$84.7K
D2392	Post 2 surface resin‑based composite	9	140	270	$80	$66.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4	320	460	$20	$62.2K
D1120	Prophylaxis–child	4	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	16	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	4	400	430	$20	$44.3K
D0145	N/A	4	50	80	$40	$36.5K
D9420	N/A	11	30	190	$80	$35.9K
D2391	Resin‑based composite – one surface, posterior	14	120	150	$60	$33.1K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Chidren's Dentistry Of South Omaha, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Family Service	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Capstone Behavioral Health, Inc.	NE	Mental Health Counselor	$0	$5M
Baart Community Healthcare	NE	Substance Use Disorder Rehabilitation Clinic/Center	$89.9K	$4.1M
Keegan Harkins	NE	Ophthalmology Physician	$3.5M	$0
Rai Care Centers Of Nebraska Ii, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Douglas County Nebraska	NE	Psychiatric Hospital	$0	$2.4M
Psychological Healing Insights,pc	NE	Mental Health Counselor	$0	$947.2K
Sakrx, LLC	NE	Durable Medical Equipment & Medical Supplies	$15.4K	$689.1K
Align Care	NE	Dentist	$0	$617.8K
Buoyant Family Services Counseling And Consulting LLC	NE	Community/Behavioral Health Agency	$0	$580.6K

Chidren's Dentistry Of South Omaha, LLC — Billing Profile & Reimbursement Data

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Chidren's Dentistry Of South Omaha, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References