Dental
Tdcjerome PLLC
Tdcjerome PLLC was paid $427K by Medicaid between May 2019 and Dec 2024, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 29% of everything it billed.
33Billing provider infoTDCJEROME PLLC
JEROME, ID 83338
JEROME, ID 83338
33aNPI1104229913assigned 10/07/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$427K
24GClaims12,300
24DCodes billed18
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#18 of 173
Median peer was paid$22K
This provider vs. median19×
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 | 24 | $86.49 | |
| 2020 | 1,096 | $37K | |
| 2021 | 3,153 | $116K | |
| 2022 | 3,913 | $143K | |
| 2023 | 2,604 | $78K | |
| 2024incomplete | 1,510 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 29% | 1,124 | 415 | $125K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 1,204 | 555 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 826 | 825 | $69K |
| D1110 | Prophylaxis - adult | 16% | 1,464 | 1,461 | $68K |
| D0330 | Panoramic radiographic image | 6.1% | 933 | 928 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 1,173 | 482 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 62 | 40 | $9K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 630 | 624 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 1,306 | 1,305 | $6K |
| D4341 | 1.4% | 103 | 40 | $6K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 67 | 67 | $2K |
| D4910 | <1% | 15 | 15 | $828.63 |
6 more codes
| D0274 | Bitewings - four radiographic images | <1% | 1,136 | $635.83 |
| D0120 | Dental checkup, returning patient | <1% | 874 | $610.30 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 93 | $573.31 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 593 | $29.68 |
| D0272 | Bitewings - two radiographic images | 0% | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 683 | $-60.58 |
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 officialWYATT, DON (OWNER)