Clinic
MT Pleasant Dental Associates, P.C.
MT Pleasant Dental Associates, P.C. was paid $49K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoMT PLEASANT DENTAL ASSOCIATES, P.C.
MT PLEASANT, IA 52641
MT PLEASANT, IA 52641
33aNPI1417097445assigned 02/07/2007
33bProvider typeDental Clinic/Center
28Total paid$49K
24GClaims2,224
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Dental Clinic/Center providers in Iowa
Rank by total paid#25 of 61
Median peer was paid$33K
This provider vs. median1.5×
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 | 627 | $14K | |
| 2019 | 764 | $18K | |
| 2020 | 674 | $14K | |
| 2021 | 159 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 532 | 513 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 901 | 855 | $16K |
| D1206 | Topical application of fluoride varnish | 19% | 599 | 572 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 144 | 138 | $4K |
| D0274 | Bitewings - four radiographic images | 2.3% | 48 | 48 | $1K |
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 officialSITAR, JEFFERY (OWNER)