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    OpenPayerNPI Medicare & MedicaidNe Specialty Dental Services LLC
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    Ne Specialty Dental Services LLC — Billing Profile & Reimbursement Data

    NPI 1790449247 · Omaha, NE · Oral and Maxillofacial Surgery Clinic/Center

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    Ne Specialty Dental Services LLC is a oral and maxillofacial surgery clinic/center provider located in Omaha, Nebraska. This profile covers 0 Medicare and 16 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNe Specialty Dental Services LLC
    Address13215 Birch Dr Ste 100
    CityOmaha
    StateNE
    ZIP68164
    TaxonomyOral and Maxillofacial Surgery Clinic/Center
    NPI EnumeratedOctober 29, 2021

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

    Payer SourceTotal Paid
    Medicaid$518.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,960$30$123.9K
    D1120Prophylaxis–child4,420$30$123.8K
    D0120Periodic oral evaluation - established patient4,290$20$102.9K
    D1351Sealant - per tooth3,470$30$97.2K
    D0272N/A2,110$10$27.4K
    D1999N/A1,180$10$11.8K
    D2392Post 2 surface resin‑based composite120$90$10K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth160$40$5.9K
    D9230N/A180$30$5.6K
    D0330N/A120$30$3.7K

    Showing 1–10 of 16

    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

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1351Sealant - per tooth28130460$30$84.7K
    D2392Post 2 surface resin‑based composite97140270$80$66.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients42320460$20$62.2K
    D1120Prophylaxis–child31290320$30$61K
    D0120Periodic oral evaluation - established patient41400430$20$44.3K
    D0145N/A305080$40$36.5K
    D9420N/A2730190$80$35.9K
    D2391Resin‑based composite – one surface, posterior105120150$60$33.1K
    D9230N/A5090260$30$32.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth178310220$40$28.1K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ne Specialty Dental Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smile Station Pediatric DentistryNEDentist$0$1.4M
    Children's Dentistry Of Council Bluffs, P.C.IAPediatric Dentistry$0$1.2M

    Nearby Providers

    Other providers in the same ZIP code as Ne Specialty Dental Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Missouri Valley Dental Group, LLCNEGeneral Practice Dentistry$0$3.1M
    West Maple Dental SpecialistsNEPediatric Dentistry$0$2.6M
    Generation Hope Family Counseling & ConsultingNEMental Health Counselor$0$1.6M
    Dialysis Clinic Inc.NEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$810.3K
    Vwb LLCNEUrgent Care Clinic/Center$0$501K
    Gregory OliverNEDentist$0$269.4K
    Adriana Niemann Counseling ,L.L.C.NECommunity/Behavioral Health Agency$0$216.7K
    Hy-vee IncNECommunity/Retail Pharmacy$160.7K$0
    Jodi ReerinkNEPhysical Therapist$64.2K$0
    Paige CliftonNEOccupational Therapist$58.3K$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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Ne Specialty Dental Services LLC — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska