Peckosh Pediatric Dentistry, P.C.

Peckosh Pediatric Dentistry, P.C. was paid $1.39M by Medicaid between Jan 2018 and Apr 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoPECKOSH PEDIATRIC DENTISTRY, P.C.
DUBUQUE, IA 52002

33aNPI1598133514assigned 09/08/2015

33bProvider typeDentist

28Total paid$1.39M

24GClaims55,847

24DCodes billed23

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#15 of 268

Median peer was paid$26K

This provider vs. median52×

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	8,322	$191K
2019	7,883	$187K
2020	6,638	$165K
2021	8,138	$204K
2022	11,483	$320K
2023	11,350	$315K
2024incomplete	2,033	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	4,136	2,127	$292K
D1120	Dental cleaning, childProphylaxis - child	16%	8,651	8,480	$215K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	11,380	11,084	$195K
D1206	Topical application of fluoride varnish	12%	11,411	11,106	$165K
D1110	Prophylaxis - adult	9.0%	3,757	3,609	$125K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.2%	2,227	1,470	$113K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.3%	4,395	3,769	$87K
D0272	Bitewings - two radiographic images	3.8%	3,453	3,364	$53K
D1351	Sealant - per tooth	3.3%	2,229	790	$45K
D0274	Bitewings - four radiographic images	2.3%	1,443	1,392	$33K
D2330		<1%	269	155	$13K
D0330	Panoramic radiographic image	<1%	239	236	$9K

11 more codes

D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	126	$8K
D0150	Comprehensive oral evaluation - new or established patient	<1%	352	$7K
D0210	Intraoral - complete series of radiographic images	<1%	133	$6K
D0240		<1%	431	$5K
D7140	Extraction, erupted tooth or exposed root	<1%	64	$4K
D0220	Intraoral - periapical first radiographic image	<1%	351	$3K
D0145	Oral evaluation for a patient under three years of age	<1%	112	$2K
D1354		<1%	543	$2K
D9410		<1%	104	$2K
D9420		<1%	25	$609.89
D0140	Limited oral evaluation - problem focused	<1%	16	$422.25

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 officialPECKOSH, VALERIE (OWNER)