Clinic
Evans Dental PA
Evans Dental PA was paid $21K by Medicaid between Jul 2019 and Feb 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 84% of everything it billed.
33Billing provider infoEVANS DENTAL PA
BURLEY, ID 83318
BURLEY, ID 83318
33aNPI1205306941assigned 11/26/2018
33bProvider typeDental Clinic/Center
28Total paid$21K
24GClaims1,031
24DCodes billed8
24AFirst – last monthJul 2019 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#27 of 39
Median peer was paid$56K
This provider vs. median0.4×
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 | 12 | $417.21 | |
| 2020 | 431 | $8K | |
| 2021 | 341 | $6K | |
| 2022 | 218 | $5K | |
| 2023 | 29 | $895.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 84% | 240 | 240 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 127 | 127 | $3K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 56 | 56 | $443.16 |
| D0274 | Bitewings - four radiographic images | <1% | 82 | 82 | $60.47 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 112 | 112 | $19.24 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 133 | 133 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 35 | 35 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 246 | 246 | $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 officialEVANS, MARK (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Reilly Evans Associates, PC | Longmeadow, MA | $17K |
| Natural Smiles, PLLC | Alcoa, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.