Broadway Dental LLC

Broadway Dental LLC was paid $362K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoBROADWAY DENTAL LLC
DENISON, IA 51442

33aNPI1790816817assigned 03/08/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$362K

24GClaims14,988

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#35 of 437

Median peer was paid$22K

This provider vs. median16×

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	1,801	$50K
2019	2,149	$53K
2020	1,966	$48K
2021	2,698	$67K
2022	2,535	$59K
2023	2,078	$46K
2024incomplete	1,761	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	5,210	5,088	$101K
D1110	Prophylaxis - adult	22%	2,223	2,174	$81K
D1206	Topical application of fluoride varnish	21%	4,390	4,288	$77K
D1120	Dental cleaning, childProphylaxis - child	9.8%	1,106	1,082	$36K
D0274	Bitewings - four radiographic images	7.7%	1,135	1,111	$28K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.0%	435	253	$25K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.2%	156	93	$12K
D0220	Intraoral - periapical first radiographic image	<1%	169	166	$2K
D0603		<1%	135	134	$640.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	12	$543.30
D0272	Bitewings - two radiographic images	<1%	16	15	$329.31

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 officialOUDERKIRK-BOCK, KRISTI (OWNER)