Dental
Oneida Family Dental LLC
Oneida Family Dental LLC was paid $21K by Medicaid between Apr 2023 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoONEIDA FAMILY DENTAL LLC
MALAD CITY, ID 83252
MALAD CITY, ID 83252
33aNPI1316454333assigned 12/29/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$21K
24GClaims724
24DCodes billed9
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#89 of 173
Median peer was paid$22K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 141 | $4K | |
| 2024incomplete | 583 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 153 | 153 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 35% | 68 | 68 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 191 | 191 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 22 | 14 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 12 | 12 | $448.97 |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 14 | 14 | $256.65 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 141 | 141 | $78.21 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 31 | 30 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 92 | 91 | $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 officialCLARK, SHENELL (OFFICE MANAGER)