SOUTHWEST IOWA DENTAL ASSOCIATES INC
NPI: 1013215805
· SHENANDOAH, IA 51601
· 122300000X
$549K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
1,802 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,562 |
3,399 |
$122K |
| D0120 |
|
5,366 |
4,974 |
$87K |
| D1206 |
|
5,619 |
5,104 |
$78K |
| D2150 |
|
1,017 |
585 |
$53K |
| D1120 |
|
2,377 |
2,073 |
$52K |
| D0274 |
|
2,469 |
2,308 |
$51K |
| D0220 |
|
2,646 |
2,462 |
$23K |
| D0150 |
|
801 |
698 |
$16K |
| D0140 |
|
591 |
565 |
$14K |
| D0330 |
|
592 |
538 |
$14K |
| D0230 |
|
1,998 |
1,130 |
$14K |
| D2140 |
|
163 |
90 |
$6K |
| D0272 |
|
412 |
348 |
$6K |
| D7140 |
|
106 |
42 |
$5K |
| D2160 |
|
83 |
63 |
$5K |
| D0210 |
|
56 |
54 |
$2K |
| D9110 |
|
23 |
12 |
$67.95 |