Terry L Boelter DDS PC

Terry L Boelter DDS PC was paid $53K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoTERRY L BOELTER DDS PC
SANBORN, IA 51248

33aNPI1467582023assigned 03/06/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$53K

24GClaims2,164

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#151 of 437

Median peer was paid$22K

This provider vs. median2.4×

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	1,077	$25K
2019	1,087	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	746	702	$15K
D1110	Prophylaxis - adult	22%	339	321	$12K
D1206	Topical application of fluoride varnish	21%	640	604	$11K
D1120	Dental cleaning, childProphylaxis - child	19%	311	289	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.6%	48	27	$3K
D0274	Bitewings - four radiographic images	2.0%	39	37	$1K
D0272	Bitewings - two radiographic images	1.7%	41	39	$885.63

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 officialBOELTER, TERRY (OWNER)