Dental
Iowa Pediatric Dental Center II LLC
Iowa Pediatric Dental Center II LLC was paid $195K by Medicaid between Jan 2018 and Mar 2019, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoIOWA PEDIATRIC DENTAL CENTER II LLC
CEDAR RAPIDS, IA 52404
CEDAR RAPIDS, IA 52404
33aNPI1245656800assigned 03/06/2014
33bProvider typePediatric Dentist
28Total paid$195K
24GClaims8,690
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#35 of 58
Median peer was paid$284K
This provider vs. median0.7×
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 | 6,618 | $145K | |
| 2019 | 2,072 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 2,019 | 1,945 | $54K |
| D1206 | Topical application of fluoride varnish | 18% | 2,210 | 2,122 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,753 | 1,692 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 517 | 489 | $13K |
| D0272 | Bitewings - two radiographic images | 5.9% | 653 | 623 | $11K |
| D0330 | Panoramic radiographic image | 4.6% | 217 | 203 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 112 | 69 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 62 | 25 | $7K |
| D1110 | Prophylaxis - adult | 3.5% | 197 | 190 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 362 | 341 | $7K |
| D1351 | Sealant - per tooth | 3.4% | 306 | 53 | $7K |
| D0274 | Bitewings - four radiographic images | 2.0% | 158 | 146 | $4K |
3 more codes
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 officialPETERSON, DONALD (DOCTOR/OWNER)
Parent organizationIOWA PEDIATRIC DENTAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Pulmonology Associates INC | Wynnewood, PA | $476K |
| Iowa Pediatric Dental Center | Coralville, IA | $218K |
| Snohomish Health District | Everett, WA | $92K |
| North ST Paul Chiropractic Office, P.A. | Saint Paul, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.