Dental
Kidman, Ryan
Kidman, Ryan was paid $15K by Medicaid between Jan 2018 and Jun 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoKIDMAN, RYAN
IDAHO FALLS, ID 83401
IDAHO FALLS, ID 83401
33aNPI1033280136assigned 11/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims1,043
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#99 of 173
Median peer was paid$22K
This provider vs. median0.7×
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 | 167 | $44.84 | |
| 2019 | 159 | $0.00 | |
| 2020 | 244 | $3K | |
| 2021 | 130 | $3K | |
| 2022 | 266 | $6K | |
| 2023 | 77 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 207 | 207 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 338 | 337 | $44.84 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 258 | 254 | $9.22 |
| D0274 | Bitewings - four radiographic images | 0% | 37 | 37 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 163 | 159 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 40 | 40 | $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.