Tri-State Dental

Tri-State Dental was paid $957.33 by Medicaid between Feb 2021 and Mar 2022, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 77% of everything it billed.

33Billing provider infoTRI-STATE DENTAL
SIOUX CITY, IA 51104

33aNPI1821165580assigned 11/29/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$957.33

24GClaims56

24DCodes billed2

24AFirst – last monthFeb 2021 – Mar 2022

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#380 of 437

Median peer was paid$22K

This provider vs. median0.0×

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
2021	44	$773.67
2022	12	$183.66

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	77%	42	38	$733.82
D1206	Topical application of fluoride varnish	23%	14	12	$223.51

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 officialREINKING, JEFF (OWNER)