Wineland, Jordan

Wineland, Jordan was paid $20K by Medicaid between Sep 2019 and Mar 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.

33Billing provider infoWINELAND, JORDAN
SIOUX CITY, IA 51106

33aNPI1568954493assigned 06/06/2018

33bProvider typeDentist

28Total paid$20K

24GClaims951

24DCodes billed5

24AFirst – last monthSep 2019 – Mar 2023

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#150 of 268

Median peer was paid$26K

This provider vs. median0.8×

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
2019	40	$721.21
2020	219	$4K
2021	315	$6K
2022	247	$5K
2023	130	$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	49%	487	476	$10K
D1206	Topical application of fluoride varnish	30%	341	327	$6K
D1110	Prophylaxis - adult	12%	71	68	$2K
D1120	Dental cleaning, childProphylaxis - child	7.6%	39	39	$2K
D0220	Intraoral - periapical first radiographic image	<1%	13	12	$96.15

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.