What are the best pest control companies in the Des Moines area?
As of November 5, 2026, we cover 12 pest control companies with a location on file in the Des Moines area. In the October 11, 2026 scoring run, the highest-ranked are Presto-X Pest Control (8.5 out of 10), Midwest Pest Control (8.4 out of 10) and Miller Pest Solutions (8.1 out of 10). Seven of them sell door to door.
How the Des Moines area companies rank
Every company we’ve researched with a branch or listing on file in Des Moines, West Des Moines, Ankeny, Urbandale, Johnston, Clive, Waukee, Altoona, Grimes, Pleasant Hill, Windsor Heights, Bondurant, Norwalk, Indianola and Adel (Polk, Dallas and Warren counties), ordered by Handshake Score.
#19 of 164 in the West · Handshake Score 8.5 out of 10 · Low confidence · Provisional
Strongest: licensing and compliance (10.0/10). Weakest: customer satisfaction (9.3/10). Sales and contract fairness: N/A.
Google: 4.8 average from 3,331 western US reviews. Its BBB profile shows an A+ grade and 0 complaints in the last three years across its BBB files.
Location on file in the Des Moines area: Des Moines.22
#24 of 164 in the West · Handshake Score 8.4 out of 10 · Low confidence · Provisional
Strongest: licensing and compliance (10.0/10). Weakest: complaint record (8.5/10). Sales and contract fairness: N/A.
Google: 5.0 average from 6,727 western US reviews. Its BBB profiles show 2 complaints in the last three years across its BBB files; grades vary by branch. Door-to-door: Partial.
#42 of 164 in the West · Handshake Score 8.1 out of 10 · Low confidence · Provisional
Strongest: licensing and compliance (10.0/10). Weakest: sales and contract fairness (8.5/10).
Google: 4.9 average from 2,614 western US reviews. Its BBB profile shows an A+ grade and 2 complaints in the last three years across its BBB files.
#44 of 164 in the West · Handshake Score 8.0 out of 10 · Low confidence · Provisional
Strongest: licensing and compliance (10.0/10). Weakest: complaint record (5.0/10).
Google: 4.7 average from 12,957 western US reviews. Its company-wide BBB profile shows an A+ grade and 626 complaints in the last three years. Door-to-door: Yes.
Locations on file in the Des Moines area: Grimes and Des Moines.13, 14, 62
#53 of 164 in the West · Handshake Score 7.9 out of 10 · Medium confidence
Strongest: licensing and compliance (10.0/10). Weakest: sales and contract fairness (4.0/10).
Google: 4.7 average from 19,886 western US reviews. Its company-wide BBB profile shows an A+ grade and 263 complaints in the last three years. Door-to-door: Yes.
6. Spidexx Pest Control & Termite
#56 of 164 in the West · Handshake Score 7.9 out of 10 · Medium confidence
Strongest: licensing and compliance (10.0/10). Weakest: sales and contract fairness (7.0/10).
Google: 4.8 average from 6,886 western US reviews. Its BBB profile shows an A+ grade and 2 complaints in the last three years across its BBB files. Door-to-door: Yes.
#67 of 164 in the West · Handshake Score 7.8 out of 10 · Medium confidence
Strongest: licensing and compliance (10.0/10). Weakest: complaint record (7.0/10).
Google: 4.8 average from 5,955 western US reviews. Its company-wide BBB profile shows an A grade and 52 complaints in the last three years. Door-to-door: Yes.
Locations on file in the Des Moines area: West Des Moines and Ankeny.1, 14, 15
#91 of 164 in the West · Handshake Score 7.5 out of 10 · Medium confidence
Strongest: licensing and compliance (10.0/10). Weakest: sales and contract fairness (4.0/10).
Google: 4.9 average from 6,281 western US reviews. Its BBB profiles show 11 complaints in the last three years across its BBB files; grades vary by branch. Door-to-door: Yes.
Location on file in the Des Moines area: Ankeny.21
9. Orkin
#140 of 164 in the West · Handshake Score 6.8 out of 10 · Medium confidence
Strongest: customer satisfaction (8.9/10). Weakest: sales and contract fairness (5.0/10). Complaint record: N/A.
Google: 4.7 average from 173,872 western US reviews. Its BBB profile shows an A+ grade; the complaint counts on file conflict.
Location on file in the Des Moines area: Urbandale.101
#150 of 164 in the West · Handshake Score 6.5 out of 10 · High confidence
Strongest: customer satisfaction (8.3/10). Weakest: sales and contract fairness (3.5/10).
Google: 4.6 average from 183,017 western US reviews. Its company-wide BBB profile shows an A+ grade and 1,326 complaints in the last three years. Door-to-door: Yes.
Location on file in the Des Moines area: Ankeny.70
11. Terminix
#161 of 164 in the West · Handshake Score 5.8 out of 10 · Medium confidence
Strongest: customer satisfaction (7.7/10). Weakest: legal and regulatory record (2.0/10).
Google: 4.7 average from 89,803 western US reviews. Its company-wide BBB profile shows an A+ grade and 2,903 complaints in the last three years. Door-to-door: Partial.
Location on file in the Des Moines area: Des Moines.135
#162 of 164 in the West · Handshake Score 5.5 out of 10 · Medium confidence
Strongest: licensing and compliance (10.0/10). Weakest: complaint record (0.5/10).
Google: 4.2 average from 6,479 western US reviews. Its BBB profile shows a C- grade and 93 complaints in the last three years across its BBB files. Door-to-door: Yes.
Head-to-head comparisons
How we ranked them
The Handshake Score rates each company’s whole western US operation from sourced public records: customer reviews, BBB complaints, contract terms and sales practices, licensing, and the legal and regulatory record. It isn’t a score for the branches in this area alone.
A location on file means our research found a branch or listing there. It doesn’t show which addresses a company serves; check with the company.