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DR. POLLYANNE IBEN DDS
NPI 1164504726
Dentist - Pediatric Dentistry in Iowa City, IA

Active since October 20, 2006PECOS Enrolled
801 NEWTON RD, IOWA CITY, IA 52242(319) 335-7440(319) 335-7451 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pollyanne Iben Dds NPPES

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

DR. POLLYANNE IBEN DDS (NPI 1164504726) is an individual pediatric dentistry provider in Iowa City, Iowa, licensed in Iowa (07894) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164504726
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. POLLYANNE IBENCredential: DDS
Location Address801 NEWTON RDIowa City, IA 52242-1001
Mailing Address322 Dental Science Bldg SIowa City, IA 52242-1001 · (319) 335-7440 · Fax (319) 335-7451
Phone(319) 335-7440
Fax(319) 335-7451
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
✔ NPI 1164504726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IA · 07894
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
801 NEWTON RD, Iowa City, IA 52242
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Other Identifiers 2

Other749278United Concordia
Medicaid2188144IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pollyanne Iben Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pollyanne Iben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
0.2 mi
Dentist
322 DENTAL SCIENCE BLDG
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1609956234 (319) 335-7440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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 20

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

DR. JUSTIN WILLIAM NICHOLS D.D.S.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. TENIOLA OMOPARIOLA DDS
Dentist
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
STEVEN DORRIS
Dentist (Oral and Maxillofacial Radiology)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
AUSTIN HINKLE
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. JING VINCENT SIT DDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
YAA SERWAA ASUBONTENG BDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
DR. MICHAEL PATRICK OWEN D.M.D.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. MARAM EMAD JARADAT BDS
Dentist (General Practice)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440

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 Pollyanne Iben's NPI number?

The NPI number for Pollyanne Iben is 1164504726. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Pollyanne Iben located?

Pollyanne Iben practices at 801 Newton Rd, Iowa City, IA 52242. The listed phone number is (319) 335-7440.

What is Pollyanne Iben's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Pollyanne Iben enrolled in Medicare?

Yes. Pollyanne Iben is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pollyanne Iben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pollyanne Iben reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pollyanne Iben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pollyanne Iben accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 6 other insurers list Pollyanne Iben 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 Pollyanne Iben was last updated on July 24, 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.