Dental
Legendary Dental PLLC
Legendary Dental PLLC was paid $46K by Medicaid between May 2019 and Dec 2024, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoLEGENDARY DENTAL PLLC
HARLAN, IA 51537
HARLAN, IA 51537
33aNPI1114490778assigned 01/07/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$46K
24GClaims2,435
24DCodes billed9
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#165 of 437
Median peer was paid$22K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 182 | $3K | |
| 2020 | 622 | $11K | |
| 2021 | 629 | $11K | |
| 2022 | 133 | $2K | |
| 2023 | 240 | $6K | |
| 2024incomplete | 629 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 928 | 878 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 660 | 624 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 358 | 341 | $9K |
| D1110 | Prophylaxis - adult | 12% | 137 | 129 | $5K |
| D0140 | Limited oral evaluation - problem focused | 8.8% | 179 | 171 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 60 | 54 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 77 | 73 | $664.95 |
| D0330 | Panoramic radiographic image | <1% | 14 | 14 | $377.25 |
| D1330 | 0% | 22 | 21 | $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 officialVEATH, LOGAN (DENTIST/OWNER)