Salmons, Ivan

Salmons, Ivan was paid $6K by Medicaid between Feb 2018 and Aug 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoSALMONS, IVAN
SIOUX CITY, IA 51104

33aNPI1952488645assigned 11/01/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims284

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#304 of 437

Median peer was paid$22K

This provider vs. median0.3×

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	120	$3K
2019	77	$2K
2020	37	$832.55
2021	24	$602.80
2022	14	$210.70
2023	12	$195.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	97	94	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	149	147	$2K
D1206	Topical application of fluoride varnish	6.6%	26	26	$405.98
D1208	Topical application of fluoride, excluding varnish	3.7%	12	12	$227.72

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.