Clinic
Backcountry Dental Docs, LLC
Backcountry Dental Docs, LLC was paid $398.50 by Medicaid between Oct 2020 and Oct 2020, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoBACKCOUNTRY DENTAL DOCS, LLC
KELLOGG, ID 83837
KELLOGG, ID 83837
33aNPI1235790510assigned 06/26/2019
33bProvider typeDental Clinic/Center
28Total paid$398.50
24GClaims20
24DCodes billed1
24AFirst – last monthOct 2020 – Oct 2020
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#39 of 39
Median peer was paid$56K
This provider vs. median0.0×
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 | 20 | $398.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 20 | 16 | $398.50 |
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 officialBERRY, HILLARY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Hillary a Berry DMD PLLC | Kellogg, ID | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.