Dental
Prairie Trails Family Dental LLC
Prairie Trails Family Dental LLC was paid $294K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoPRAIRIE TRAILS FAMILY DENTAL LLC
CORYDON, IA 50060
CORYDON, IA 50060
33aNPI1336485424assigned 12/18/2012
33bProvider typeDentist
28Total paid$294K
24GClaims14,128
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#43 of 268
Median peer was paid$26K
This provider vs. median11×
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 | 1,603 | $31K | |
| 2019 | 2,244 | $40K | |
| 2020 | 2,307 | $45K | |
| 2021 | 2,644 | $58K | |
| 2022 | 1,876 | $40K | |
| 2023 | 1,850 | $42K | |
| 2024incomplete | 1,604 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 4,111 | 3,939 | $74K |
| D1110 | Prophylaxis - adult | 25% | 2,124 | 2,033 | $73K |
| D1206 | Topical application of fluoride varnish | 18% | 3,310 | 3,171 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,285 | 1,215 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 1,316 | 1,244 | $20K |
| D0274 | Bitewings - four radiographic images | 4.4% | 531 | 509 | $13K |
| D1351 | Sealant - per tooth | 2.2% | 362 | 81 | $7K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 265 | 232 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 459 | 426 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 50 | 26 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 152 | 138 | $3K |
| D0330 | Panoramic radiographic image | <1% | 58 | 55 | $2K |
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 officialHENDERSON, SUSAN (DIR. ADMINISTRATIVE SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Wayne County Hospital | Corydon, IA | $715K |
| Wayne County Hospital | Corydon, IA | $43K |
| Wayne County Hospital | Lineville, IA | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.