Dental
Community Council of Idaho INC
Community Council of Idaho INC was paid $551K by Medicaid between Dec 2023 and Dec 2024, across 17 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoCOMMUNITY COUNCIL OF IDAHO INC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1164101754assigned 07/12/2023
33bProvider typePublic Health Dentist
28Total paid$551K
24GClaims4,331
24DCodes billed17
24AFirst – last monthDec 2023 – Dec 2024
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 | 16 | $5K | |
| 2024incomplete | 4,315 | $546K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 1,853 | 1,449 | $551K |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 299 | 141 | $0.00 |
| D4346 | 0% | 40 | 40 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 248 | 168 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 538 | 535 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 55 | 55 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 610 | 607 | $0.00 |
| D1330 | 0% | 71 | 70 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 100 | 99 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 29 | 25 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 14 | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 67 | 67 | $0.00 |
5 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 officialCANTU, ARNOLD (CLINIC ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Community Council of Idaho, INC | Idaho Falls, ID | $3.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.