Dental
Bluesky Dental
Bluesky Dental was paid $978.25 by Medicaid between Apr 2023 and Apr 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoBLUESKY DENTAL
MOSCOW, ID 83843
MOSCOW, ID 83843
33aNPI1073808333assigned 06/15/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$978.25
24GClaims24
24DCodes billed2
24AFirst – last monthApr 2023 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#150 of 173
Median peer was paid$22K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 24 | $978.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $978.25 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 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 officialHENRY, KEVIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Thrive Prosthetics | Carmichael, CA | $70K |
| South Valley Anesthesia, LLC | San Tan Valley, AZ | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.