Brandtner, Alex

Brandtner, Alex was paid $156K by Medicaid between Jan 2018 and Jan 2019, across 9 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 40% of everything it billed.

33Billing provider infoBRANDTNER, ALEX
DAVENPORT, IA 52807

33aNPI1154382091assigned 03/30/2006

33bProvider typePediatric Dentist

28Total paid$156K

24GClaims4,970

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Pediatric Dentist providers in Iowa

Rank by total paid#37 of 58

Median peer was paid$284K

This provider vs. median0.6×

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	4,602	$145K
2019	368	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	40%	666	413	$62K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,199	1,169	$21K
D1120	Dental cleaning, childProphylaxis - child	13%	755	739	$20K
D1208	Topical application of fluoride, excluding varnish	10%	1,085	1,058	$16K
D0140	Limited oral evaluation - problem focused	9.8%	636	620	$15K
D1110	Prophylaxis - adult	8.3%	422	410	$13K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	5.2%	142	115	$8K
D1351	Sealant - per tooth	<1%	51	12	$1K
D1206	Topical application of fluoride varnish	<1%	14	13	$186.29

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.