Dental
Sac & Fox Tribe of the Miss in Iowa
Sac & Fox Tribe of the Miss in Iowa was paid $2.96M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 75% of everything it billed.
33Billing provider infoSAC & FOX TRIBE OF THE MISS IN IOWA
TAMA, IA 52339
TAMA, IA 52339
33aNPI1477811057assigned 05/02/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$2.96M
24GClaims19,317
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#5 of 437
Median peer was paid$22K
This provider vs. median135×
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 | 2,712 | $303K | |
| 2019 | 3,182 | $381K | |
| 2020 | 1,955 | $242K | |
| 2021 | 1,451 | $248K | |
| 2022 | 3,239 | $567K | |
| 2023 | 4,201 | $694K | |
| 2024incomplete | 2,577 | $526K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 75% | 6,853 | 5,587 | $2.21M |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 1,210 | 1,104 | $736K |
| D1206 | Topical application of fluoride varnish | <1% | 3,539 | 3,166 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,665 | 2,434 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,197 | 1,055 | $2K |
| D1110 | Prophylaxis - adult | <1% | 1,237 | 1,162 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 352 | 192 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 695 | 664 | $661.01 |
| D0140 | Limited oral evaluation - problem focused | <1% | 263 | 233 | $308.14 |
| D0330 | Panoramic radiographic image | <1% | 166 | 155 | $274.79 |
| D1354 | <1% | 78 | 36 | $125.34 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 99 | 86 | $104.49 |
9 more codes
| D0272 | Bitewings - two radiographic images | <1% | 78 | $43.81 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 101 | $21.95 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 340 | $8.00 |
| D1351 | Sealant - per tooth | <1% | 156 | $7.87 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 37 | $1.10 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 23 | $0.08 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 85 | $0.06 |
| D1330 | 0% | 16 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 127 | $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.
From NPPES
Who's on the registration
Authorized officialPAPAKEE, RUDY (HEALTH DIRECTOR)