Clinic
North Idaho Family Dentistry
North Idaho Family Dentistry was paid $78K by Medicaid between Apr 2019 and Dec 2020, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoNORTH IDAHO FAMILY DENTISTRY
BONNERS FERRY, ID 83805
BONNERS FERRY, ID 83805
33aNPI1295295152assigned 03/25/2019
33bProvider typeDental Clinic/Center
28Total paid$78K
24GClaims3,668
24DCodes billed17
24AFirst – last monthApr 2019 – Dec 2020
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#15 of 39
Median peer was paid$56K
This provider vs. median1.4×
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 | 1,523 | $26K | |
| 2020 | 2,145 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 421 | 419 | $29K |
| D1110 | Prophylaxis - adult | 26% | 325 | 325 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 101 | 101 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 203 | 97 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.9% | 33 | 18 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 229 | 228 | $3K |
| D1351 | Sealant - per tooth | 1.5% | 257 | 70 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | 30 | $694.60 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 53 | 30 | $563.44 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 563 | 562 | $418.07 |
| D0330 | Panoramic radiographic image | <1% | 24 | 24 | $235.99 |
| D0274 | Bitewings - four radiographic images | <1% | 220 | 220 | $43.06 |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 237 | $36.88 |
| D0272 | Bitewings - two radiographic images | <1% | 387 | $15.87 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 100 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 472 | $-18.74 |
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 officialGEYMAN, TAYLOR (GENERAL DENTIST/OWNER)