Dental
Palouse Pediatric Dentistry
Palouse Pediatric Dentistry was paid $126K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 73% of everything it billed.
33Billing provider infoPALOUSE PEDIATRIC DENTISTRY
MOSCOW, ID 83843
MOSCOW, ID 83843
33aNPI1013175595assigned 05/30/2008
33bProvider typePediatric Dentist
28Total paid$126K
24GClaims7,727
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#39 of 53
Median peer was paid$394K
This provider vs. median0.3×
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 | 2,061 | $33K | |
| 2019 | 1,701 | $27K | |
| 2020 | 1,037 | $18K | |
| 2021 | 925 | $16K | |
| 2022 | 824 | $14K | |
| 2023 | 632 | $9K | |
| 2024incomplete | 547 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 73% | 1,614 | 1,605 | $93K |
| D1110 | Prophylaxis - adult | 25% | 420 | 417 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 2,609 | 2,593 | $2K |
| D0330 | Panoramic radiographic image | <1% | 13 | 13 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 180 | 168 | $126.57 |
| D0274 | Bitewings - four radiographic images | 0% | 13 | 13 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 562 | 559 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 28 | 27 | $-120.29 |
| D1206 | Topical application of fluoride varnish | 0% | 2,288 | 2,276 | $-678.82 |
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 officialSEPT, KAREN (OWNER)