Clinic
Wilson Dental PLLC
Wilson Dental PLLC was paid $616.75 by Medicaid between Aug 2021 and Aug 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoWILSON DENTAL PLLC
BOISE, ID 83704
BOISE, ID 83704
33aNPI1265935902assigned 03/08/2018
33bProvider typeDental Clinic/Center
28Total paid$616.75
24GClaims26
24DCodes billed2
24AFirst – last monthAug 2021 – Aug 2021
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#38 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 | |
|---|---|---|---|
| 2021 | 26 | $616.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $616.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 14 | 14 | $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 officialWILSON, GREGG (DENTIST/CEO)