Dental
Dentistry on 5TH
Dentistry on 5TH was paid $464K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 17% of everything it billed.
33Billing provider infoDENTISTRY ON 5TH
DES MOINES, IA 50309
DES MOINES, IA 50309
33aNPI1588082739assigned 04/04/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$464K
24GClaims11,743
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#23 of 437
Median peer was paid$22K
This provider vs. median21×
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 | 2,868 | $147K | |
| 2019 | 2,750 | $99K | |
| 2020 | 1,364 | $58K | |
| 2021 | 757 | $21K | |
| 2022 | 849 | $22K | |
| 2023 | 916 | $27K | |
| 2024incomplete | 2,239 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 1,017 | 322 | $78K |
| D2740 | Crown - porcelain/ceramic | 14% | 182 | 99 | $64K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 1,014 | 998 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 8.7% | 793 | 217 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 1,635 | 1,610 | $38K |
| D1110 | Prophylaxis - adult | 8.1% | 1,026 | 1,003 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 393 | 174 | $31K |
| D2950 | 5.6% | 256 | 164 | $26K | |
| D1206 | Topical application of fluoride varnish | 3.4% | 1,015 | 1,002 | $16K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 604 | 585 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 855 | 822 | $14K |
| D0274 | Bitewings - four radiographic images | 2.4% | 476 | 465 | $11K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,117 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 192 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 680 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 63 | $5K |
| D7250 | <1% | 56 | $4K | |
| D4910 | <1% | 39 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 176 | $2K |
| D1120 | Dental cleaning, child | <1% | 63 | $1K |
| D0601 | <1% | 91 | $305.00 |
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 officialSOU, LEANN (OFFICE MANAGER)