Eldora Family Dentistry, LLC

Eldora Family Dentistry, LLC was paid $4K by Medicaid between Jan 2018 and Jul 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 68% of everything it billed.

33Billing provider infoELDORA FAMILY DENTISTRY, LLC
ELDORA, IA 50627

33aNPI1699294181assigned 09/15/2017

33bProvider typeDental Clinic/Center

28Total paid$4K

24GClaims210

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Dental Clinic/Center providers in Iowa

Rank by total paid#44 of 61

Median peer was paid$33K

This provider vs. median0.1×

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	107	$2K
2019	91	$2K
2020	12	$196.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	68%	144	135	$2K
D1110	Prophylaxis - adult	14%	20	16	$501.48
D1206	Topical application of fluoride varnish	13%	32	31	$485.24
D1208	Topical application of fluoride, excluding varnish	5.5%	14	14	$200.29

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 officialSCARROW, DAN (OWNER)