Hendricks, Demi

Hendricks, Demi was paid $50K by Medicaid between Mar 2018 and Oct 2022, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 70% of everything it billed.

33Billing provider infoHENDRICKS, DEMI
DAVENPORT, IA 52801

33aNPI1336693290assigned 08/09/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$50K

24GClaims1,043

24DCodes billed9

24AFirst – last monthMar 2018 – Oct 2022

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#159 of 437

Median peer was paid$22K

This provider vs. median2.3×

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	104	$6K
2019	660	$16K
2020	67	$3K
2022	212	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	70%	421	411	$35K
D0140	Limited oral evaluation - problem focused	9.8%	41	40	$5K
D0603		6.0%	25	25	$3K
D1120	Dental cleaning, childProphylaxis - child	4.2%	224	218	$2K
D1206	Topical application of fluoride varnish	3.1%	210	208	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	13	13	$2K
D0999	Unspecified diagnostic procedure, by report	2.2%	13	12	$1K
D1110	Prophylaxis - adult	1.6%	65	60	$826.98
D1330		0%	31	31	$0.00

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.