Dental
Western Iowa Dental Group, LLC
Western Iowa Dental Group, LLC was paid $1.72M by Medicaid between Jan 2018 and May 2021, across 30 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 14% of everything it billed.
33Billing provider infoWESTERN IOWA DENTAL GROUP, LLC
COUNCIL BLUFFS, IA 51501
COUNCIL BLUFFS, IA 51501
33aNPI1841574886assigned 10/10/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$1.72M
24GClaims75,453
24DCodes billed30
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#8 of 437
Median peer was paid$22K
This provider vs. median78×
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 | 25,295 | $702K | |
| 2019 | 25,770 | $618K | |
| 2020 | 21,655 | $351K | |
| 2021 | 2,733 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 14% | 662 | 504 | $244K |
| D1110 | Prophylaxis - adult | 10% | 5,450 | 5,186 | $180K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 2,728 | 1,808 | $175K |
| D2950 | 7.5% | 1,324 | 1,166 | $129K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 7,092 | 6,731 | $113K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 3,954 | 3,805 | $92K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 2,057 | 2,029 | $83K |
| D0274 | Bitewings - four radiographic images | 4.0% | 5,715 | 5,392 | $70K |
| D4910 | 3.7% | 1,162 | 1,125 | $64K | |
| D4341 | 3.7% | 728 | 266 | $64K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 4,442 | 4,201 | $59K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 8,677 | 8,171 | $57K |
18 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 2,508 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 1,023 | $48K |
| D0330 | Panoramic radiographic image | 2.6% | 3,731 | $45K |
| D1120 | Dental cleaning, child | 2.5% | 1,940 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 10,192 | $38K |
| D1206 | Topical application of fluoride varnish | 2.2% | 2,844 | $37K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 507 | $35K |
| D0272 | Bitewings - two radiographic images | 1.5% | 2,149 | $25K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.3% | 58 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 367 | $18K |
| D0270 | <1% | 1,708 | $9K | |
| D0180 | <1% | 371 | $8K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 21 | $2K |
| D2332 | <1% | 15 | $1K | |
| D1351 | Sealant - per tooth | <1% | 61 | $1K |
| D0460 | <1% | 157 | $985.26 | |
| D2331 | <1% | 16 | $934.50 | |
| D1999 | <1% | 3,794 | $15.00 |
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 officialKERGER, BETTY (OFFICE MANAGER)