Jordan Creek Pediatric Dentistry

Jordan Creek Pediatric Dentistry was paid $11K by Medicaid between Aug 2023 and Nov 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoJORDAN CREEK PEDIATRIC DENTISTRY
WEST DES MOINES, IA 50266

33aNPI1952092892assigned 05/19/2023

33bProvider typePediatric Dentist

28Total paid$11K

24GClaims481

24DCodes billed3

24AFirst – last monthAug 2023 – Nov 2024

Compared with peers

Next to other Pediatric Dentist providers in Iowa

Rank by total paid#49 of 58

Median peer was paid$284K

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
2023	157	$3K
2024incomplete	324	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	157	156	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	173	172	$3K
D1208	Topical application of fluoride, excluding varnish	27%	151	151	$3K

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 officialLEONARD, HANS (DENTIST)