Dental
Jordan Creek Pediatric Dentistry, INC
Jordan Creek Pediatric Dentistry, INC was paid $105K by Medicaid between Feb 2018 and Feb 2023, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoJORDAN CREEK PEDIATRIC DENTISTRY, INC
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1144413659assigned 08/20/2007
33bProvider typePediatric Dentist
28Total paid$105K
24GClaims3,389
24DCodes billed5
24AFirst – last monthFeb 2018 – Feb 2023
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#42 of 58
Median peer was paid$284K
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 | |
|---|---|---|---|
| 2018 | 490 | $17K | |
| 2019 | 832 | $27K | |
| 2020 | 631 | $21K | |
| 2021 | 871 | $25K | |
| 2022 | 497 | $14K | |
| 2023 | 68 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 1,047 | 1,036 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 1,116 | 1,101 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 971 | 957 | $24K |
| D0272 | Bitewings - two radiographic images | 2.6% | 108 | 105 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 147 | 141 | $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 officialBURNS, ROBERT (PEDIATRIC DENTIST/OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.