Siouxland Dental Health — Billing Profile & Reimbursement Data
NPI 1831274935 · Sioux City, IA · Dentist
Customize your policy alerts
Sign up for Siouxland Dental Health — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Siouxland Dental Health is a dentist provider located in Sioux City, 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Siouxland Dental Health |
| Address | 2114 Pierce St |
| City | Sioux City |
| State | IA |
| ZIP | 51104 |
| Taxonomy | Dentist |
| NPI Enumerated | October 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.8M |
| 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 Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 5,910 | $50 | $301.5K |
| D0120 | Periodic oral evaluation - established patient | 9,100 | $30 | $245.6K |
| D0210 | Intraoral - complete series of radiographic images | 3,060 | $80 | $245K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 10,800 | $20 | $226.8K |
| D0150 | Comprehensive oral evaluation – new or established patient | 3,710 | $40 | $141K |
| D1120 | Prophylaxis–child | 3,750 | $40 | $134.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 1,070 | $100 | $105.2K |
| D0274 | N/A | 4,160 | $20 | $91.5K |
| D2392 | Post 2 surface resin‑based composite | 840 | $90 | $76.5K |
| D1351 | Sealant - per tooth | 2,710 | $30 | $75.8K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 46 | 170 | 330 | $50 | $88.3K |
| D1351 | Sealant - per tooth | 53 | 190 | 750 | $20 | $60.2K |
| D2392 | Post 2 surface resin‑based composite | 59 | 210 | 230 | $60 | $58.6K |
| D4341 | Periodontal scaling and root planing - four or more teeth per quadrant | 36 | 50 | 210 | $70 | $46K |
| D1120 | Prophylaxis–child | 66 | 580 | 310 | $20 | $43.3K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 26 | 630 | 370 | $30 | $36.8K |
| D2391 | Resin‑based composite – one surface, posterior | 97 | 190 | 210 | $40 | $34.7K |
| D0120 | Periodic oral evaluation - established patient | 36 | 830 | 530 | $20 | $34.1K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 29 | 630 | 500 | $10 | $33.3K |
| D9230 | N/A | 84 | 90 | 560 | $20 | $28.6K |
Showing 1–10 of 20
Nearby Providers
Other providers in the same ZIP code as Siouxland Dental Health, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 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.