Egesdal, Travis

Egesdal, Travis was paid $1K by Medicaid between Apr 2019 and Aug 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoEGESDAL, TRAVIS
KNOXVILLE, IA 50138

33aNPI1811066806assigned 11/06/2006

33bProvider typeDentist

28Total paid$1K

24GClaims52

24DCodes billed3

24AFirst – last monthApr 2019 – Aug 2020

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#227 of 268

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
2019	12	$207.56
2020	40	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	24	24	$563.07
D1120	Dental cleaning, childProphylaxis - child	33%	13	13	$447.51
D1208	Topical application of fluoride, excluding varnish	24%	15	15	$326.47

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.