Clinic
ST Luke's Methodist Hospital
ST Luke's Methodist Hospital was paid $643K by Medicaid between Dec 2021 and Nov 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoST LUKE'S METHODIST HOSPITAL
CEDAR RAPIDS, IA 52402
CEDAR RAPIDS, IA 52402
33aNPI1306589411assigned 04/16/2022
33bProvider typeDental Clinic/Center
28Total paid$643K
24GClaims23,970
24DCodes billed23
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Iowa
Rank by total paid#9 of 61
Median peer was paid$33K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2021 | 54 | $0.00 | |
| 2022 | 6,107 | $161K | |
| 2023 | 9,843 | $274K | |
| 2024incomplete | 7,966 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 4,109 | 4,044 | $128K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 894 | 361 | $105K |
| D1206 | Topical application of fluoride varnish | 14% | 5,140 | 5,050 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,022 | 3,950 | $85K |
| D1351 | Sealant - per tooth | 12% | 2,997 | 813 | $75K |
| D1110 | Prophylaxis - adult | 4.5% | 725 | 714 | $29K |
| D0274 | Bitewings - four radiographic images | 3.9% | 1,328 | 1,316 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 448 | 446 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 554 | 549 | $15K |
| D0330 | Panoramic radiographic image | 2.4% | 776 | 765 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 224 | 162 | $15K |
| D0272 | Bitewings - two radiographic images | 1.5% | 579 | 571 | $10K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 790 | $8K |
| D1354 | <1% | 799 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 143 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 55 | $2K |
| D1353 | <1% | 66 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | $1K |
| D0190 | <1% | 88 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $797.30 |
| D9410 | <1% | 28 | $585.26 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 126 | $576.00 |
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 officialNIERMANN, MICHELLE (PRESIDENT/CEO)
Parent organizationST LUKE'S METHODIST HOSPITAL