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    OpenPayerNPI Medicare & MedicaidChildren's Dentistry Of Council Bluffs, P.C.
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    Children's Dentistry Of Council Bluffs, P.C. — Billing Profile & Reimbursement Data

    NPI 1033232186 · Council Bluffs, IA · Pediatric Dentistry

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    Children's Dentistry Of Council Bluffs, P.C. is a pediatric dentistry provider located in Council Bluffs, Iowa. This profile covers 0 Medicare and 20 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
    OrganizationChildren's Dentistry Of Council Bluffs, P.C.
    Address40 Northcrest Dr
    CityCouncil Bluffs
    StateIA
    ZIP51503
    TaxonomyPediatric Dentistry
    NPI EnumeratedApril 6, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child8,410$30$260.6K
    D0120Periodic oral evaluation - established patient9,290$20$213.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9,880$20$177.9K
    D2930N/A1,280$100$130.3K
    D0272N/A3,960$20$79.2K
    D2392Post 2 surface resin‑based composite870$90$74.5K
    D2391Resin‑based composite – one surface, posterior790$60$49K
    D0240N/A3,240$20$48.6K
    D9230N/A2,430$20$36.5K
    D1351Sealant - per tooth1,450$20$34.9K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A3480850$110$217.2K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)67170330$50$88.3K
    D1351Sealant - per tooth74190750$20$60.2K
    D2392Post 2 surface resin‑based composite56210230$60$58.6K
    D1120Prophylaxis–child24580310$20$43.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth293630370$30$36.8K
    D2391Resin‑based composite – one surface, posterior48190210$40$34.7K
    D0120Periodic oral evaluation - established patient35830530$20$34.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients33630500$10$33.3K
    D9230N/A1790560$20$28.6K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Children's Dentistry Of Council Bluffs, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smile Station Pediatric DentistryNEDentist$0$1.4M
    Ne Specialty Dental Services LLCNEOral and Maxillofacial Surgery Clinic/Center$0$518.4K

    Nearby Providers

    Other providers in the same ZIP code as Children's Dentistry Of Council Bluffs, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trivium Life ServicesIADevelopmentally Disabled Services Day Training Agency$0$149.2M
    Vocational Development Center IncIADevelopmentally Disabled Services Day Training Agency$0$59M
    Rem Iowa Community Services, IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$54.3M
    Focus-family Options & Community Supports, IncIADevelopmentally Disabled Services Day Training Agency$0$41.2M
    Council Bluffs Community School DistrictIALocal Education Agency (LEA)$0$17.5M
    Family Connections, IncIACase Management Agency$0$15.1M
    Alegent Health Bergan Mercy Health SystemIAGeneral Acute Care Hospital$0$13M
    Jennie Edmundson Memorial HospitalIAGeneral Acute Care Hospital$0$9.8M
    Alegent Creighton ClinicIAFamily Medicine Physician$0$9.6M
    City Of Council BluffsIAAmbulance$425.7K$6.2M

    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. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Children's Dentistry Of Council Bluffs, P.C. — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa