Clinic
Legacy Dental, P.C.
Legacy Dental, P.C. was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 20% of everything it billed.
33Billing provider infoLEGACY DENTAL, P.C.
DES MOINES, IA 50315
DES MOINES, IA 50315
33aNPI1811283302assigned 06/22/2011
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$4.19M
24GClaims50,703
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
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 | 6,902 | $523K | |
| 2019 | 7,528 | $588K | |
| 2020 | 6,174 | $510K | |
| 2021 | 7,579 | $591K | |
| 2022 | 6,716 | $573K | |
| 2023 | 7,951 | $711K | |
| 2024incomplete | 7,853 | $693K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 20% | 4,156 | 1,569 | $847K |
| D9243 | 18% | 10,506 | 5,266 | $740K | |
| D7230 | 16% | 3,690 | 1,921 | $671K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 6,125 | 1,855 | $599K |
| D7140 | Extraction, erupted tooth or exposed root | 14% | 11,286 | 3,334 | $567K |
| D9239 | 9.9% | 5,478 | 5,263 | $415K | |
| D9310 | 4.2% | 6,866 | 6,621 | $176K | |
| D7220 | 2.5% | 748 | 455 | $105K | |
| D0330 | Panoramic radiographic image | 1.7% | 1,848 | 1,697 | $71K |
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 officialPURK, JEFFREY (OWNER)