Dental
Eagle Grove Family Dentistry PLC
Eagle Grove Family Dentistry PLC was paid $164K by Medicaid between Jan 2018 and Oct 2022, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoEAGLE GROVE FAMILY DENTISTRY PLC
EAGLE GROVE, IA 50533
EAGLE GROVE, IA 50533
33aNPI1831566330assigned 09/01/2015
33bProvider typeDentist
28Total paid$164K
24GClaims6,829
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#59 of 268
Median peer was paid$26K
This provider vs. median6.2×
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 | 1,240 | $28K | |
| 2019 | 1,831 | $47K | |
| 2020 | 1,197 | $31K | |
| 2021 | 1,294 | $30K | |
| 2022 | 1,267 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 924 | 917 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,232 | 1,226 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 379 | 139 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 8.4% | 336 | 323 | $14K |
| D0274 | Bitewings - four radiographic images | 8.0% | 926 | 917 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 527 | 517 | $12K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 443 | 434 | $11K |
| D4910 | 5.7% | 157 | 156 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 841 | 813 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 112 | 89 | $7K |
| D0330 | Panoramic radiographic image | 3.1% | 498 | 484 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 93 | 75 | $5K |
4 more codes
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 officialSHAVER, MYSTY (OWNER/DENTIST)