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BROCK RADICH DDS
NPI 1073937223
Dentist - Oral and Maxillofacial Surgery in Des Moines, IA

Active since February 07, 2014Opted out of Medicare · through Jan 2, 2028
7400 FLEUR DR STE 200, DES MOINES, IA 50321(515) 287-7773 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2020, Feb 7, 2020, Aug 3, 2018 (3 updates tracked since 2018).

About Brock Radich Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCK RADICH DDS (NPI 1073937223) is an individual oral and maxillofacial surgery provider in Des Moines, Iowa, licensed in Iowa (DDS09722) and active in the NPI registry since February 2014. He has opted out of Medicare through January 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073937223
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBROCK RADICHCredential: DDS
Location Address7400 FLEUR DR STE 200Des Moines, IA 50321-3105
Mailing Address7400 Fleur Dr Ste 200Des Moines, IA 50321-3105 · (515) 287-7773
Phone(515) 287-7773
Sole ProprietorNo
Enumeration DateFebruary 7, 2014
Last NPPES UpdateMay 15, 20203 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
✔ NPI 1073937223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IA · DDS09722✔ Licensed in IA · DDS-09722
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7400 FLEUR DR STE 200, Des Moines, IA 50321
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Brock Radich Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2020 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2020
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KANE MICHAEL LOUSCHER DDS
Dentist (Oral and Maxillofacial Surgery)
7400 FLEUR DR STE 200
DES MOINES, IA 50321
Polk County (515) 461-8741
MICHELLE PETERS DDS
Dentist (Oral and Maxillofacial Surgery)
7400 FLEUR DR STE 200
DES MOINES, IA 50321
Polk County (515) 287-7773
DR. MICHAEL MORIO DDS
Dentist (Oral and Maxillofacial Surgery)
7400 FLEUR DR STE 200
DES MOINES, IA 50321
Polk County (515) 287-7773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock Radich's NPI number?

The NPI number for Brock Radich is 1073937223. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Brock Radich located?

Brock Radich practices at 7400 Fleur Dr Ste 200, Des Moines, IA 50321. The listed phone number is (515) 287-7773.

What is Brock Radich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brock Radich enrolled in Medicare?

No. Brock Radich has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brock Radich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa list Brock Radich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brock Radich was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.