Dental
Waterloo Pediatric Dentistry
Waterloo Pediatric Dentistry was paid $657K by Medicaid between Aug 2023 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoWATERLOO PEDIATRIC DENTISTRY
WATERLOO, IA 50701
WATERLOO, IA 50701
33aNPI1700583580assigned 02/13/2023
33bProvider typePediatric Dentist
28Total paid$657K
24GClaims20,406
24DCodes billed24
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#21 of 58
Median peer was paid$284K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2023 | 5,006 | $152K | |
| 2024incomplete | 15,400 | $506K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 1,654 | 569 | $180K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,681 | 2,648 | $78K |
| D1351 | Sealant - per tooth | 11% | 3,037 | 588 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,707 | 1,688 | $49K |
| D1206 | Topical application of fluoride varnish | 7.5% | 2,814 | 2,777 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 717 | 390 | $40K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.9% | 381 | 224 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 409 | 257 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 996 | 976 | $21K |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,156 | 1,138 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 212 | 148 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 833 | 779 | $18K |
12 more codes
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 511 | $15K |
| D0330 | Panoramic radiographic image | 1.7% | 270 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 936 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,037 | $8K |
| D0240 | <1% | 482 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 167 | $4K |
| D1110 | Prophylaxis - adult | <1% | 63 | $3K |
| D9420 | <1% | 69 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 94 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 29 | $900.64 |
| D1354 | <1% | 123 | $542.35 | |
| D9219 | 0% | 28 | $0.00 |
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 officialCHRISTENSEN, ALISON (OWNER)