Dental
Southwest Iowa Dental Associates INC
Southwest Iowa Dental Associates INC was paid $549K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoSOUTHWEST IOWA DENTAL ASSOCIATES INC
SHENANDOAH, IA 51601
SHENANDOAH, IA 51601
33aNPI1013215805assigned 03/03/2011
33bProvider typeDentist
28Total paid$549K
24GClaims27,881
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#31 of 268
Median peer was paid$26K
This provider vs. median21×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,861 | $63K | |
| 2019 | 6,524 | $124K | |
| 2020 | 4,391 | $86K | |
| 2021 | 3,688 | $76K | |
| 2022 | 3,592 | $76K | |
| 2023 | 4,023 | $85K | |
| 2024incomplete | 1,802 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 3,562 | 3,399 | $122K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 5,366 | 4,974 | $87K |
| D1206 | Topical application of fluoride varnish | 14% | 5,619 | 5,104 | $78K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.7% | 1,017 | 585 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 2,377 | 2,073 | $52K |
| D0274 | Bitewings - four radiographic images | 9.4% | 2,469 | 2,308 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 2,646 | 2,462 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 801 | 698 | $16K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 591 | 565 | $14K |
| D0330 | Panoramic radiographic image | 2.6% | 592 | 538 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,998 | 1,130 | $14K |
| D2140 | 1.2% | 163 | 90 | $6K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTRAVIS, JILLIAN (OWNER)