Dental
Skyline Dental Services, LLC
Skyline Dental Services, LLC was paid $268K by Medicaid between Jun 2020 and Apr 2024, across 23 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 12% of everything it billed.
33Billing provider infoSKYLINE DENTAL SERVICES, LLC
DAVENPORT, IA 52806
DAVENPORT, IA 52806
33aNPI1952958167assigned 08/22/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$268K
24GClaims8,938
24DCodes billed23
24AFirst – last monthJun 2020 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#47 of 437
Median peer was paid$22K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 2,199 | $69K | |
| 2021 | 1,004 | $24K | |
| 2022 | 3,673 | $128K | |
| 2023 | 2,028 | $48K | |
| 2024incomplete | 34 | $489.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,486 | 1,390 | $33K |
| D2740 | Crown - porcelain/ceramic | 12% | 81 | 75 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 387 | 242 | $27K |
| D0330 | Panoramic radiographic image | 9.8% | 927 | 858 | $26K |
| D1110 | Prophylaxis - adult | 9.6% | 765 | 710 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 6.3% | 368 | 344 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 956 | 902 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 167 | 107 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 256 | 130 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 474 | 455 | $11K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 439 | 419 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 144 | 49 | $7K |
11 more codes
| D2950 | 2.6% | 65 | $7K | |
| D1351 | Sealant - per tooth | 2.5% | 312 | $7K |
| D0274 | Bitewings - four radiographic images | 2.2% | 447 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 592 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 560 | $4K |
| D0120 | Dental checkup, returning patient | 1.3% | 230 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 48 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 69 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 62 | $901.38 |
| D0270 | <1% | 90 | $661.25 | |
| D4355 | <1% | 13 | $506.61 |
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 officialSCHAEFER, SEAN (MANAGER)