Dental
Sitar, Jeffery
Sitar, Jeffery was paid $5K by Medicaid between May 2021 and Oct 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.
33Billing provider infoSITAR, JEFFERY
MT PLEASANT, IA 52641
MT PLEASANT, IA 52641
33aNPI1346380920assigned 02/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims222
24DCodes billed3
24AFirst – last monthMay 2021 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#321 of 437
Median peer was paid$22K
This provider vs. median0.2×
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 | 197 | $4K | |
| 2022 | 25 | $388.43 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 57% | 133 | 128 | $3K |
| D1206 | Topical application of fluoride varnish | 30% | 76 | 73 | $1K |
| D1110 | Prophylaxis - adult | 12% | 13 | 12 | $575.71 |
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.