Dewitt Family Dentistry P.C.

Dewitt Family Dentistry P.C. was paid $92K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoDEWITT FAMILY DENTISTRY P.C.
DE WITT, IA 52742

33aNPI1104987833assigned 12/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$92K

24GClaims4,257

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#114 of 437

Median peer was paid$22K

This provider vs. median4.2×

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	744	$15K
2019	630	$12K
2020	528	$12K
2021	709	$15K
2022	750	$17K
2023	578	$13K
2024incomplete	318	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	1,799	1,759	$33K
D1110	Prophylaxis - adult	30%	779	764	$28K
D1206	Topical application of fluoride varnish	21%	1,252	1,224	$19K
D1120	Dental cleaning, childProphylaxis - child	8.5%	272	264	$8K
D0274	Bitewings - four radiographic images	3.6%	137	135	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	18	14	$916.38

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 officialPAULSEN, TRACI (OWNER)