Dental
Rigby Pediatric Dental PLLC
Rigby Pediatric Dental PLLC was paid $575K by Medicaid between Jul 2020 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoRIGBY PEDIATRIC DENTAL PLLC
RIGBY, ID 83442
RIGBY, ID 83442
33aNPI1124657010assigned 04/03/2020
33bProvider typePediatric Dentist
28Total paid$575K
24GClaims35,057
24DCodes billed21
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#24 of 53
Median peer was paid$394K
This provider vs. median1.5×
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 | 1,344 | $17K | |
| 2021 | 5,131 | $67K | |
| 2022 | 8,653 | $149K | |
| 2023 | 10,580 | $202K | |
| 2024incomplete | 9,349 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 3,874 | 3,868 | $258K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 1,065 | 257 | $91K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 942 | 938 | $75K |
| D1110 | Prophylaxis - adult | 12% | 685 | 684 | $72K |
| D0330 | Panoramic radiographic image | 3.6% | 223 | 223 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 253 | 150 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 233 | 156 | $11K |
| D1351 | Sealant - per tooth | 1.9% | 3,047 | 652 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 380 | 380 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 93 | 50 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 113 | 113 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,261 | 3,258 | $1K |
9 more codes
| D1354 | <1% | 741 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 644 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,473 | $120.79 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,209 | $75.06 |
| D0272 | Bitewings - two radiographic images | <1% | 2,077 | $74.30 |
| D1206 | Topical application of fluoride varnish | <1% | 1,051 | $13.55 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 3,464 | $0.00 |
| D9420 | 0% | 129 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 1,100 | $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 officialBINGHAM, KORY (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Smiles 4 Kids Blackfoot PLLC | Blackfoot, ID | $562K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.