Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › West Des Moines › NPI 1609846583
Dental

Iowa Oral and Maxillofacial Surgeons, PC

Iowa Oral and Maxillofacial Surgeons, PC was paid $289.48 by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.

33Billing provider infoIOWA ORAL AND MAXILLOFACIAL SURGEONS, PC
WEST DES MOINES, IA 50266
33aNPI1609846583assigned 01/24/2006
28Total paid$289.48
24GClaims13
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2018
Box 24A · Dates of service

Paid by month

$0$100$200$3002018201920202021202220232024
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
YearClaimsPaid
201813$289.48
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 100% 13 13 $289.48

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 officialWEIRICH, DIANA (INSURANCE COORDINATOR)