Dental
Klise, Alec
Klise, Alec was paid $27K by Medicaid between Jan 2018 and Oct 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoKLISE, ALEC
PERRY, IA 50220
PERRY, IA 50220
33aNPI1871935536assigned 07/23/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims1,117
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#209 of 437
Median peer was paid$22K
This provider vs. median1.2×
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 | 334 | $8K | |
| 2019 | 446 | $11K | |
| 2020 | 337 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 365 | 364 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 554 | 550 | $10K |
| D0274 | Bitewings - four radiographic images | 9.2% | 103 | 102 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 70 | 67 | $669.97 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 13 | 13 | $500.74 |
| D1206 | Topical application of fluoride varnish | 1.2% | 12 | 12 | $310.97 |
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.