Dental
Williamsburg Dental Health Clinic INC
Williamsburg Dental Health Clinic INC was paid $37K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoWILLIAMSBURG DENTAL HEALTH CLINIC INC
WILLIAMSBURG, IA 52361
WILLIAMSBURG, IA 52361
33aNPI1336552678assigned 06/04/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims2,477
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#183 of 437
Median peer was paid$22K
This provider vs. median1.7×
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 | 911 | $12K | |
| 2019 | 892 | $15K | |
| 2020 | 434 | $7K | |
| 2021 | 213 | $3K | |
| 2024incomplete | 27 | $644.41 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 870 | 770 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 566 | 496 | $11K |
| D1206 | Topical application of fluoride varnish | 30% | 914 | 808 | $11K |
| D1110 | Prophylaxis - adult | 2.7% | 28 | 28 | $1K |
| D0272 | Bitewings - two radiographic images | 2.7% | 75 | 64 | $998.57 |
| D0274 | Bitewings - four radiographic images | 1.6% | 24 | 24 | $589.68 |
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 officialGRIER, BENTON (OFFICE MANAGER)