Dental
Jersey Ridge Dental Associates
Jersey Ridge Dental Associates was paid $23K by Medicaid between Jan 2018 and Apr 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoJERSEY RIDGE DENTAL ASSOCIATES
DAVENPORT, IA 52807
DAVENPORT, IA 52807
33aNPI1194892521assigned 11/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims926
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#217 of 437
Median peer was paid$22K
This provider vs. median1.0×
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 | 192 | $5K | |
| 2019 | 149 | $4K | |
| 2020 | 120 | $3K | |
| 2021 | 177 | $4K | |
| 2022 | 158 | $4K | |
| 2023 | 130 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 360 | 357 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 41% | 531 | 525 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 17 | 13 | $432.83 |
| D1206 | Topical application of fluoride varnish | 1.2% | 18 | 14 | $264.60 |
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 officialSAMUELSON, DAVID (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Lowden Dental Associates | Lowden, IA | $870.81 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.