Clinic
Advanced Dental PC
Advanced Dental PC was paid $154K by Medicaid between Sep 2019 and Nov 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.
33Billing provider infoADVANCED DENTAL PC
PRESTON, ID 83263
PRESTON, ID 83263
33aNPI1093361818assigned 08/16/2019
33bProvider typeDental Clinic/Center
28Total paid$154K
24GClaims9,464
24DCodes billed16
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#11 of 39
Median peer was paid$56K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 736 | $13K | |
| 2020 | 2,803 | $40K | |
| 2021 | 2,866 | $37K | |
| 2022 | 1,572 | $31K | |
| 2023 | 918 | $22K | |
| 2024incomplete | 569 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 52% | 1,080 | 1,077 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 800 | 799 | $44K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.9% | 305 | 169 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 261 | 260 | $10K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 216 | 215 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $972.98 |
| D0274 | Bitewings - four radiographic images | <1% | 595 | 592 | $813.77 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,720 | 1,717 | $698.89 |
| D1351 | Sealant - per tooth | <1% | 59 | 12 | $249.96 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,401 | 1,400 | $83.88 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 722 | 713 | $62.48 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 704 | 285 | $0.00 |
4 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 officialHIRSCHI, RYAN (OWNER/DENTIST)