Clinic
Klise Dentistry, PLLC
Klise Dentistry, PLLC was paid $221K by Medicaid between Feb 2018 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoKLISE DENTISTRY, PLLC
PLEASANTVILLE, IA 50225
PLEASANTVILLE, IA 50225
33aNPI1760934756assigned 10/26/2016
33bProvider typeDental Clinic/Center
28Total paid$221K
24GClaims9,299
24DCodes billed12
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Iowa
Rank by total paid#15 of 61
Median peer was paid$33K
This provider vs. median6.6×
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 | 785 | $16K | |
| 2019 | 987 | $19K | |
| 2020 | 763 | $13K | |
| 2021 | 1,720 | $41K | |
| 2022 | 1,913 | $50K | |
| 2023 | 1,830 | $48K | |
| 2024incomplete | 1,301 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 2,944 | 2,912 | $52K |
| D1110 | Prophylaxis - adult | 20% | 1,220 | 1,214 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,490 | 1,472 | $39K |
| D1206 | Topical application of fluoride varnish | 15% | 2,146 | 2,113 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 364 | 192 | $29K |
| D0274 | Bitewings - four radiographic images | 6.6% | 603 | 597 | $15K |
| D0272 | Bitewings - two radiographic images | 1.5% | 206 | 197 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 197 | 194 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 65 | 51 | $1K |
| D0330 | Panoramic radiographic image | <1% | 24 | 24 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | 12 | $928.84 |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $660.89 |
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 officialKLISE, ALEC (OWNER)