Keith J. Whittemore

Keith J. Whittemore was paid $360K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoKEITH J. WHITTEMORE
WATERLOO, IA 50702

33aNPI1972627362assigned 03/19/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$360K

24GClaims17,645

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#36 of 437

Median peer was paid$22K

This provider vs. median16×

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	2,715	$53K
2019	2,455	$50K
2020	3,215	$49K
2021	2,913	$58K
2022	2,670	$57K
2023	2,125	$54K
2024incomplete	1,552	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	3,558	3,477	$125K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	4,533	4,418	$77K
D1206	Topical application of fluoride varnish	17%	4,046	3,934	$62K
D0274	Bitewings - four radiographic images	10%	1,819	1,765	$36K
D1120	Dental cleaning, childProphylaxis - child	7.6%	1,046	1,011	$27K
D0220	Intraoral - periapical first radiographic image	2.3%	919	826	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.7%	64	43	$6K
D0330	Panoramic radiographic image	1.2%	213	199	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.1%	54	30	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	145	138	$3K
D0210	Intraoral - complete series of radiographic images	<1%	62	54	$3K
D1351	Sealant - per tooth	<1%	75	13	$2K

7 more codes

D0272	Bitewings - two radiographic images	<1%	84	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	18	$1K
D1352		<1%	29	$242.32
D0603		<1%	13	$65.00
D0602		<1%	13	$65.00
D0601		<1%	14	$65.00
D1999		0%	940	$0.00

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 officialWHITTEMORE, KEITH (OWNER)