Elite Dental, P.C.

Elite Dental, P.C. was paid $8K by Medicaid between Jul 2020 and Mar 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoELITE DENTAL, P.C.
DYERSVILLE, IA 52040

33aNPI1134248826assigned 03/27/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims306

24DCodes billed3

24AFirst – last monthJul 2020 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#282 of 437

Median peer was paid$22K

This provider vs. median0.4×

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
2020	98	$3K
2021	162	$5K
2022	14	$536.20
2023	32	$732.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	114	110	$3K
D1206	Topical application of fluoride varnish	32%	127	124	$3K
D1120	Dental cleaning, childProphylaxis - child	31%	65	65	$3K

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 officialKOCH-WOMER, JULIE (BUSINESS OWNER)