Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WEST DES MOINES › JORDAN CREEK PEDIATRIC DENTISTRY, INC

JORDAN CREEK PEDIATRIC DENTISTRY, INC

NPI: 1144413659 · WEST DES MOINES, IA 50266 · Pediatric Dentist · NPI assigned 08/20/2007

$105K
Total Medicaid Paid
3,389
Total Claims
3,340
Beneficiaries
5
Codes Billed
2018-02
First Month
2023-02
Last Month

Provider Details

Authorized OfficialBURNS, ROBERT (PEDIATRIC DENTIST/OWNER)
NPI Enumeration Date08/20/2007

Related Entities

Other providers sharing the same authorized official: BURNS, ROBERT

ProviderCityStateTotal Paid
SAN JUAN MEDICAL GROUP PC FARMINGTON NM $4.16M
IRVING POINT LIMITED PARTNERSHIP CEDAR RAPIDS IA $1.57M
EMERSON POINT LIMITED PARTNERSHIP IOWA CITY IA $1.33M
INSTANT CARE, INC. VISTA CA $366K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 490 $17K
2019 832 $27K
2020 631 $21K
2021 871 $25K
2022 497 $14K
2023 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,047 1,036 $43K
D0120 Periodic oral evaluation - established patient 1,116 1,101 $34K
D1208 Topical application of fluoride, excluding varnish 971 957 $24K
D0272 Bitewings - two radiographic images 108 105 $3K
D0220 Intraoral - periapical first radiographic image 147 141 $3K