Pediatric Dentistry of Central Iowa, P.C.

Pediatric Dentistry of Central Iowa, P.C. was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY OF CENTRAL IOWA, P.C.
DES MOINES, IA 50324

33aNPI1275618886assigned 10/25/2006

33bProvider typePediatric Dentist

28Total paid$1.06M

24GClaims46,138

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Iowa

Rank by total paid#12 of 58

Median peer was paid$284K

This provider vs. median3.8×

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	7,805	$168K
2019	6,927	$165K
2020	5,347	$135K
2021	6,423	$145K
2022	7,275	$153K
2023	6,333	$149K
2024incomplete	6,028	$150K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	13,293	13,049	$253K
D1120	Dental cleaning, childProphylaxis - child	22%	8,128	7,998	$231K
D1110	Prophylaxis - adult	18%	5,303	5,188	$191K
D1206	Topical application of fluoride varnish	17%	10,627	10,427	$179K
D0272	Bitewings - two radiographic images	6.2%	3,586	3,511	$66K
D0274	Bitewings - four radiographic images	4.7%	2,013	1,980	$50K
D7140	Extraction, erupted tooth or exposed root	1.9%	331	195	$21K
D0330	Panoramic radiographic image	1.3%	328	321	$13K
D2930	Prefabricated stainless steel crown - primary tooth	1.2%	124	66	$13K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.1%	781	767	$12K
D2150	Silver amalgam - two surfaces, primary or permanent	1.0%	201	97	$11K
D1351	Sealant - per tooth	<1%	373	108	$9K

6 more codes

D0220	Intraoral - periapical first radiographic image	<1%	707	$8K
D0150	Comprehensive oral evaluation - new or established patient	<1%	83	$4K
D0230	Intraoral - periapical each additional radiographic image	<1%	111	$1K
D1354		<1%	121	$997.02
D0145	Oral evaluation for a patient under three years of age	<1%	14	$464.32
D0140	Limited oral evaluation - problem focused	<1%	14	$329.45

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 officialMANCUSO, VINCENT (PRESIDENT)