Dental
Sprout Pediatric Dentistry,pllc
Sprout Pediatric Dentistry,pllc was paid $128K by Medicaid between Jul 2023 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 81% of everything it billed.
33Billing provider infoSPROUT PEDIATRIC DENTISTRY,PLLC
BOISE, ID 83704
BOISE, ID 83704
33aNPI1114685245assigned 12/06/2021
33bProvider typePediatric Dentist
28Total paid$128K
24GClaims8,977
24DCodes billed16
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#38 of 53
Median peer was paid$394K
This provider vs. median0.3×
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 | 3,449 | $52K | |
| 2024incomplete | 5,528 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 81% | 1,453 | 1,451 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 184 | 184 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 128 | 29 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 65 | 63 | $2K |
| D1110 | Prophylaxis - adult | 1.1% | 13 | 13 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | 12 | $629.40 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,314 | 1,293 | $241.94 |
| D0274 | Bitewings - four radiographic images | <1% | 32 | 32 | $160.94 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,247 | 1,247 | $143.26 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 148 | 136 | $47.87 |
| D0272 | Bitewings - two radiographic images | <1% | 776 | 776 | $17.16 |
| D1206 | Topical application of fluoride varnish | 0% | 490 | 490 | $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 officialMITCHELL, RACHEL (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Durham Emergency Physicians, PA | Durham, NC | $1.18M |
| Childrens Dentistry of Fruitland | Fruitland, ID | $233K |
| Cumberland Internal Medicine, PA | Fayetteville, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.