Cornerstone Family Dental PLLC

Cornerstone Family Dental PLLC was paid $4K by Medicaid between Apr 2018 and Jun 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 99% of everything it billed.

33Billing provider infoCORNERSTONE FAMILY DENTAL PLLC
REXBURG, ID 83440

33aNPI1013374461assigned 01/15/2016

33bProvider typeDentist

28Total paid$4K

24GClaims271

24DCodes billed3

24AFirst – last monthApr 2018 – Jun 2021

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#55 of 89

Median peer was paid$16K

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	92	$2K
2019	65	$0.00
2020	44	$786.46
2021	70	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	99%	65	65	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	194	194	$32.82
D1206	Topical application of fluoride varnish	0%	12	12	$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 officialSNARR, THOMAS (OWNER)