Midwest Dental of Iowa, PLC

Midwest Dental of Iowa, PLC was paid $3K by Medicaid between Jun 2018 and Jul 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.

33Billing provider infoMIDWEST DENTAL OF IOWA, PLC
MONDOVI, WI 54755

33aNPI1811028533assigned 03/07/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims191

24DCodes billed4

24AFirst – last monthJun 2018 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#143 of 208

Median peer was paid$26K

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	14	$497.90
2019	19	$459.60
2020	55	$383.00
2023	90	$2K
2024incomplete	13	$225.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	55%	75	70	$2K
D1110	Prophylaxis - adult	25%	29	27	$859.60
D1206	Topical application of fluoride varnish	20%	44	41	$701.90
D1999		0%	43	38	$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 officialMYER, JIM (CFO)