Hyder, Brock

Hyder, Brock was paid $17K by Medicaid between Aug 2019 and Aug 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 83% of everything it billed.

33Billing provider infoHYDER, BROCK
BOISE, ID 83713

33aNPI1114403953assigned 07/16/2018

33bProvider typeDentist

28Total paid$17K

24GClaims1,253

24DCodes billed9

24AFirst – last monthAug 2019 – Aug 2022

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#43 of 89

Median peer was paid$16K

This provider vs. median1.1×

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	390	$4K
2020	641	$9K
2021	143	$2K
2022	79	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	83%	197	197	$14K
D0210	Intraoral - complete series of radiographic images	8.7%	12	12	$1K
D1120	Dental cleaning, childProphylaxis - child	5.9%	16	15	$990.85
D0150	Comprehensive oral evaluation - new or established patient	1.6%	30	30	$259.52
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	269	268	$100.45
D0274	Bitewings - four radiographic images	<1%	100	100	$43.06
D0220	Intraoral - periapical first radiographic image	<1%	211	206	$9.22
D1208	Topical application of fluoride, excluding varnish	0%	250	249	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	168	159	$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.