Dental
Valley Dental PA
Valley Dental PA was paid $18K by Medicaid between Jul 2020 and Aug 2020, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 70% of everything it billed.
33Billing provider infoVALLEY DENTAL PA
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1114067105assigned 02/07/2007
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims1,107
24DCodes billed9
24AFirst – last monthJul 2020 – Aug 2020
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#48 of 53
Median peer was paid$394K
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 | |
|---|---|---|---|
| 2020 | 1,107 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 70% | 142 | 142 | $13K |
| D1110 | Prophylaxis - adult | 30% | 40 | 40 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 113 | 113 | $9.22 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 176 | 176 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 136 | 32 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 171 | 171 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 118 | 118 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 169 | 96 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 42 | 42 | $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 officialBYBEE, LARRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Desert Valley Dentistry | Pocatello, ID | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.