Clinic
Upper Valley Community Health Services INC
Upper Valley Community Health Services INC was paid $1.98M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoUPPER VALLEY COMMUNITY HEALTH SERVICES INC
SAINT ANTHONY, ID 83445
SAINT ANTHONY, ID 83445
33aNPI1053770230assigned 02/17/2016
33bProvider typeDental Clinic/Center
28Total paid$1.98M
24GClaims21,376
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#3 of 39
Median peer was paid$56K
This provider vs. median36×
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 | 851 | $126K | |
| 2019 | 1,439 | $181K | |
| 2020 | 3,006 | $245K | |
| 2021 | 2,335 | $264K | |
| 2022 | 4,255 | $361K | |
| 2023 | 5,072 | $412K | |
| 2024incomplete | 4,418 | $391K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 7,693 | 7,005 | $1.98M |
| D0140 | Limited oral evaluation - problem focused | <1% | 305 | 301 | $268.59 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 954 | 633 | $19.22 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 4,425 | 1,711 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 981 | 980 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 196 | 196 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 807 | 806 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 19 | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 722 | 722 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,780 | 2,731 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 992 | 992 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,382 | 1,380 | $0.00 |
2 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 officialSESSIONS, LORI (CEO)
| Provider | Location | Paid |
|---|---|---|
| Upper Valley Community Health Services INC | Rexburg, ID | $7.64M |
| Upper Valley Community Health Services INC | Saint Anthony, ID | $4.88M |
| Upper Valley Community Health Services INC | Idaho Falls, ID | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.