Dental
Care Creek Dental LLC
Care Creek Dental LLC was paid $21K by Medicaid between Jun 2022 and Oct 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 67% of everything it billed.
33Billing provider infoCARE CREEK DENTAL LLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1326281163assigned 04/09/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$21K
24GClaims1,307
24DCodes billed10
24AFirst – last monthJun 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#90 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 | |
|---|---|---|---|
| 2022 | 312 | $4K | |
| 2023 | 648 | $11K | |
| 2024incomplete | 347 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 67% | 188 | 188 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 21% | 53 | 53 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 58 | 58 | $853.12 |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 156 | 156 | $850.15 |
| D0274 | Bitewings - four radiographic images | 3.6% | 227 | 227 | $757.10 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 360 | 353 | $92.05 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 66 | 66 | $19.24 |
| D0330 | Panoramic radiographic image | 0% | 12 | 12 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 127 | 125 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 60 | 60 | $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 officialGAGNON, PAUL (DENTIST/OWNER)