Dental
Michael Mathews, DDS, P.C.
Michael Mathews, DDS, P.C. was paid $841K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoMICHAEL MATHEWS, DDS, P.C.
WEST BURLINGTON, IA 52655
WEST BURLINGTON, IA 52655
33aNPI1992049811assigned 11/15/2012
33bProvider typeDentist
28Total paid$841K
24GClaims26,748
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#21 of 268
Median peer was paid$26K
This provider vs. median32×
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 | 4,020 | $113K | |
| 2019 | 4,712 | $144K | |
| 2020 | 2,702 | $73K | |
| 2021 | 2,921 | $82K | |
| 2022 | 4,559 | $166K | |
| 2023 | 4,430 | $150K | |
| 2024incomplete | 3,404 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 2,761 | 636 | $277K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,746 | 3,617 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 4,769 | 4,612 | $103K |
| D1206 | Topical application of fluoride varnish | 8.8% | 4,046 | 3,905 | $74K |
| D1351 | Sealant - per tooth | 7.7% | 3,070 | 635 | $65K |
| D1110 | Prophylaxis - adult | 6.0% | 1,318 | 1,285 | $51K |
| D0272 | Bitewings - two radiographic images | 4.7% | 2,064 | 1,988 | $40K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 1,152 | 1,092 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,168 | 1,133 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 331 | 164 | $19K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 210 | 102 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 1,061 | 996 | $11K |
8 more codes
| D0274 | Bitewings - four radiographic images | 1.2% | 346 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 85 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 294 | $3K |
| D9420 | <1% | 41 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 31 | $1K |
| D0240 | <1% | 41 | $490.96 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | $389.52 |
| D1999 | 0% | 202 | $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 officialMATHEWS, MICHAEL (PRESIDENT)