Dental
Paramount Family Dental, LLC
Paramount Family Dental, LLC was paid $12K by Medicaid between May 2018 and Jun 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 98% of everything it billed.
33Billing provider infoPARAMOUNT FAMILY DENTAL, LLC
BOISE, ID 83704
BOISE, ID 83704
33aNPI1194182725assigned 01/27/2016
33bProvider typePublic Health Dentist
28Total paid$12K
24GClaims379
24DCodes billed4
24AFirst – last monthMay 2018 – Jun 2023
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 | |
|---|---|---|---|
| 2018 | 49 | $117.61 | |
| 2019 | 12 | $0.00 | |
| 2020 | 67 | $2K | |
| 2021 | 102 | $3K | |
| 2022 | 108 | $4K | |
| 2023 | 41 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 98% | 192 | 191 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 158 | 158 | $202.43 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $37.37 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 17 | 17 | $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 officialGROVER, ALLISON (OFFICE ADMINISTRATOR)