Dental
Cedar Rapids Pediatric Dentistry LLC
Cedar Rapids Pediatric Dentistry LLC was paid $1.76M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoCEDAR RAPIDS PEDIATRIC DENTISTRY LLC
CEDAR RAPIDS, IA 52402
CEDAR RAPIDS, IA 52402
33aNPI1043755408assigned 12/21/2016
33bProvider typePediatric Dentist
28Total paid$1.76M
24GClaims75,686
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#6 of 58
Median peer was paid$284K
This provider vs. median6.2×
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 | 9,435 | $221K | |
| 2019 | 11,266 | $266K | |
| 2020 | 8,706 | $198K | |
| 2021 | 12,184 | $274K | |
| 2022 | 10,708 | $244K | |
| 2023 | 11,381 | $275K | |
| 2024incomplete | 12,006 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 15,409 | 14,961 | $445K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 16,805 | 16,332 | $340K |
| D1206 | Topical application of fluoride varnish | 18% | 18,442 | 17,904 | $311K |
| D1351 | Sealant - per tooth | 9.0% | 7,383 | 1,396 | $159K |
| D1110 | Prophylaxis - adult | 7.6% | 3,407 | 3,286 | $133K |
| D0272 | Bitewings - two radiographic images | 6.3% | 5,963 | 5,791 | $111K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.1% | 1,096 | 378 | $107K |
| D0274 | Bitewings - four radiographic images | 2.4% | 1,508 | 1,445 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,433 | 1,382 | $40K |
| D0330 | Panoramic radiographic image | 1.3% | 497 | 482 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,906 | 1,811 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 727 | 694 | $12K |
7 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 92 | $5K |
| D0240 | <1% | 323 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 125 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 188 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 22 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 30 | $1K |
| D1999 | 0% | 330 | $0.00 |
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 officialSWENSON, SARAH (MANAGER)