Dental
Kalona Family Dental, PLC
Kalona Family Dental, PLC was paid $37K by Medicaid between Feb 2022 and Nov 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoKALONA FAMILY DENTAL, PLC
KALONA, IA 52247
KALONA, IA 52247
33aNPI1942827811assigned 06/26/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,429
24DCodes billed5
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#181 of 437
Median peer was paid$22K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 462 | $12K | |
| 2023 | 548 | $14K | |
| 2024incomplete | 419 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 570 | 540 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 377 | 357 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 23% | 418 | 399 | $9K |
| D1110 | Prophylaxis - adult | 4.2% | 38 | 38 | $2K |
| D0272 | Bitewings - two radiographic images | 1.9% | 26 | 25 | $705.78 |
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 officialGRIMM, TAMARA (MANAGING MEMBER, OWNER)