Dental
Missouri Valley Dental Group LLC
Missouri Valley Dental Group LLC was paid $374K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoMISSOURI VALLEY DENTAL GROUP LLC
MISSOURI VALLEY, IA 51555
MISSOURI VALLEY, IA 51555
33aNPI1538226055assigned 01/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$374K
24GClaims23,037
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#32 of 437
Median peer was paid$22K
This provider vs. median17×
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 | 6,001 | $107K | |
| 2019 | 9,035 | $161K | |
| 2020 | 5,280 | $72K | |
| 2021 | 1,463 | $19K | |
| 2022 | 585 | $6K | |
| 2023 | 451 | $7K | |
| 2024incomplete | 222 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,523 | 3,153 | $50K |
| D1110 | Prophylaxis - adult | 11% | 1,397 | 1,250 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 538 | 320 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 2,677 | 2,336 | $33K |
| D4910 | 6.9% | 466 | 437 | $26K | |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 1,001 | 870 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 3,031 | 2,634 | $19K |
| D2740 | Crown - porcelain/ceramic | 4.9% | 47 | 27 | $18K |
| D0274 | Bitewings - four radiographic images | 4.4% | 1,445 | 1,254 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 902 | 756 | $17K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 748 | 662 | $16K |
| D2950 | 3.6% | 155 | 119 | $14K |
10 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 333 | $13K |
| D4341 | 3.1% | 122 | $11K | |
| D0272 | Bitewings - two radiographic images | 2.9% | 1,136 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 2,962 | $11K |
| D0330 | Panoramic radiographic image | 2.8% | 840 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 200 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 60 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 132 | $2K |
| D0270 | <1% | 180 | $962.68 | |
| D1999 | 0% | 1,142 | $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 officialKERGER, JEAN (CORPORATE SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Missouri Valley Dental Group, LLC | Omaha, NE | $3.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.