Managed care
Dental Care By the Square
Dental Care By the Square was paid $36K by Medicaid between Jan 2018 and Apr 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoDENTAL CARE BY THE SQUARE
WASHINGTON, IA 52353
WASHINGTON, IA 52353
33aNPI1306001110assigned 07/21/2008
33bProvider typePoint of Service
28Total paid$36K
24GClaims1,769
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2024
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 | 357 | $7K | |
| 2019 | 507 | $10K | |
| 2020 | 259 | $5K | |
| 2021 | 216 | $5K | |
| 2022 | 194 | $4K | |
| 2023 | 224 | $5K | |
| 2024incomplete | 12 | $267.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 766 | 720 | $14K |
| D1110 | Prophylaxis - adult | 31% | 331 | 319 | $11K |
| D1206 | Topical application of fluoride varnish | 30% | 657 | 621 | $11K |
| D0274 | Bitewings - four radiographic images | 1.1% | 15 | 14 | $382.96 |
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 officialFLORYANOVICH, SERGEY (OWNER)