Indianola Family Dentistry PLC

Indianola Family Dentistry PLC was paid $14K by Medicaid between Jan 2018 and Aug 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoINDIANOLA FAMILY DENTISTRY PLC
INDIANOLA, IA 50125

33aNPI1770735565assigned 10/13/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims413

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#254 of 437

Median peer was paid$22K

This provider vs. median0.6×

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	60	$2K
2019	75	$3K
2020	66	$2K
2021	82	$3K
2022	82	$3K
2023	48	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	205	201	$7K
D1206	Topical application of fluoride varnish	25%	139	135	$4K
D1120	Dental cleaning, childProphylaxis - child	24%	69	69	$3K

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 officialLINDEBERG, MICHAEL (OWNER)