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    OpenPayerNPI Medicare & MedicaidPediatric Dental Group, PC
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    Pediatric Dental Group, PC — Billing Profile & Reimbursement Data

    NPI 1427591031 · Bellevue, NE · Pediatric Dentistry

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    Pediatric Dental Group, PC is a pediatric dentistry provider located in Bellevue, Nebraska. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPediatric Dental Group, PC
    Address1411 J F Kennedy Dr
    CityBellevue
    StateNE
    ZIP68005
    TaxonomyPediatric Dentistry
    NPI EnumeratedNovember 30, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$776.1K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child6,850$30$191.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients6,680$30$167.1K
    D0120Periodic oral evaluation - established patient5,810$20$139.4K
    D1351Sealant - per tooth2,290$30$59.4K
    D1999N/A4,320$10$43.2K
    D0272N/A2,870$10$34.4K
    D9230N/A1,090$30$30.5K
    D2930N/A180$140$24.4K
    D0150Comprehensive oral evaluation – new or established patient950$20$22.8K
    D1208Topical application of fluoride - excluding varnish780$20$17.1K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A3550540$120$269K
    D1351Sealant - per tooth36130460$30$84.7K
    D2392Post 2 surface resin‑based composite99140270$80$66.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients33320460$20$62.2K
    D1120Prophylaxis–child23290320$30$61K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)94100180$60$58.2K
    D0120Periodic oral evaluation - established patient30400430$20$44.3K
    D0145N/A275080$40$36.5K
    D2391Resin‑based composite – one surface, posterior72120150$60$33.1K
    D9230N/A2390260$30$32.2K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pediatric Dental Group, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan T Hajek Dds PCIAPediatric Dentistry$0$5.6M
    Hannah GreeneNEGeneral Practice Dentistry$0$350.1K

    Nearby Providers

    Other providers in the same ZIP code as Pediatric Dental Group, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Telecare Mental Health Services Of Nebraska, IncNEMental Illness Community Based Residential Treatment Facility$0$6.4M
    Oneworld Community Health Centers, Inc.NEFederally Qualified Health Center (FQHC)$0$3.4M
    Robert F. Colwell Jr, Dds, PCNEDental Clinic/Center$0$3.2M
    Summit Dental Health - Towne LLCNEGeneral Practice Dentistry$0$1.6M
    City Of BellevueNELand Ambulance$507.9K$588.4K
    Shopko Stores Operating Co. LLCNEEyewear Supplier$0$465.8K
    Hoogeveen Chiropractic Wellness Center, P.C.NEChiropractor$0$462.5K
    Chitrita RoyNEPediatrics Physician$0$430.2K
    Harlan Medical, LLCNEUrgent Care Clinic/Center$0$368.1K
    Heartland Cataract & Laser Surgery Center, Inc.NEAmbulatory Surgical Clinic/Center$352.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Pediatric Dental Group, PC — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska