Dental
Club 32 Dental Caldwell PLLC
Club 32 Dental Caldwell PLLC was paid $299K by Medicaid between Aug 2021 and Feb 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoCLUB 32 DENTAL CALDWELL PLLC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1033796305assigned 03/24/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$299K
24GClaims8,998
24DCodes billed15
24AFirst – last monthAug 2021 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#26 of 173
Median peer was paid$22K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 1,795 | $51K | |
| 2022 | 4,243 | $129K | |
| 2023 | 2,688 | $109K | |
| 2024incomplete | 272 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 933 | 547 | $80K |
| D0210 | Intraoral - complete series of radiographic images | 24% | 653 | 653 | $72K |
| D1110 | Prophylaxis - adult | 15% | 990 | 990 | $45K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 713 | 263 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 618 | 404 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 1,342 | 1,341 | $14K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 481 | 480 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 32 | 27 | $6K |
| D4341 | 2.0% | 98 | 41 | $6K | |
| D0330 | Panoramic radiographic image | 1.8% | 783 | 783 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 1,251 | 1,251 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 475 | 473 | $82.98 |
3 more codes
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 officialKELLER, KIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Club 32 Dental | Nampa, ID | $647K |
| NS Downtown PLLC | Nampa, ID | $38K |
| Talk Heal Thrive Psychotherapy, PLLC | Seattle, WA | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.