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    OpenPayerNPI Medicare & MedicaidIowa Dental Clinic, PC
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    Iowa Dental Clinic, PC — Billing Profile & Reimbursement Data

    NPI 1861716599 · Des Moines, IA · Dentist

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    Iowa Dental Clinic, PC is a dentist provider located in Des Moines, Iowa. 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationIowa Dental Clinic, PC
    Address5601 Hickman Rd
    CityDes Moines
    StateIA
    ZIP50310
    TaxonomyDentist
    NPI EnumeratedMarch 24, 2010

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    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
    D4341Periodontal scaling and root planing - four or more teeth per quadrant3,320$110$348.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,400$40$167.2K
    D4910Periodontal maintenance procedures2,610$60$161.8K
    D0120Periodic oral evaluation - established patient6,620$20$119.1K
    D0210Intraoral - complete series of radiographic images2,080$50$110.4K
    D1208Topical application of fluoride - excluding varnish7,270$20$109.1K
    D0150Comprehensive oral evaluation – new or established patient4,080$20$97.9K
    D0274N/A3,250$30$81.3K
    D1120Prophylaxis–child2,120$30$59.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,360$20$35.3K

    Showing 1–10 of 22

    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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)130170330$50$88.3K
    D1351Sealant - per tooth121190750$20$60.2K
    D2392Post 2 surface resin‑based composite85210230$60$58.6K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant550210$70$46K
    D1120Prophylaxis–child102580310$20$43.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth43630370$30$36.8K
    D2391Resin‑based composite – one surface, posterior71190210$40$34.7K
    D0120Periodic oral evaluation - established patient58830530$20$34.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients145630500$10$33.3K
    D0210Intraoral - complete series of radiographic images18150160$30$28.3K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Baptist Homes Of The MidwestIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$41.9M
    Precision Ventures, LLCIAIn Home Supportive Care Agency$0$9M
    Innovative Counseling & Consulting, Inc.IAMental Health Counselor$0$7.5M
    H.o.p.e. (honoring Opportunities For Personal Empowerment)IADevelopmentally Disabled Services Day Training Agency$0$4.3M
    Westminster House, Inc.IACommunity/Behavioral Health Agency$0$1.7M
    New Sight, Inc.IAClinical Social Worker$0$1.4M
    Synergy Clinical Services Of Central Iowa LLCIASocial Worker$0$1.3M
    Affinity Therapy And Counseling ServicesIAMental Health Counselor$0$1.2M
    Choices Therapy Services, LLCIAMental Health Counselor$0$970.6K
    Des Moines Pediatric & Adolescent ClinicIAPediatrics Physician$0$850.3K

    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
    Iowa Dental Clinic, PC — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa