Clinic
Andrew Stoddard Dental Services, PLLC
Andrew Stoddard Dental Services, PLLC was paid $39K by Medicaid between Jan 2018 and Feb 2023, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 88% of everything it billed.
33Billing provider infoANDREW STODDARD DENTAL SERVICES, PLLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1346501657assigned 06/04/2012
33bProvider typeDental Clinic/Center
28Total paid$39K
24GClaims2,045
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#23 of 39
Median peer was paid$56K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2018 | 396 | $8K | |
| 2019 | 359 | $7K | |
| 2020 | 286 | $5K | |
| 2021 | 412 | $7K | |
| 2022 | 541 | $12K | |
| 2023 | 51 | $943.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 88% | 572 | 571 | $34K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 66 | 65 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 45 | 27 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,062 | 1,059 | $142.54 |
| D0274 | Bitewings - four radiographic images | <1% | 80 | 80 | $129.57 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 113 | 110 | $0.00 |
| D1999 | 0% | 16 | 16 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 59 | 59 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 14 | 14 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 18 | 13 | $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 officialSTODDARD, ANDREW (SOLE MEMBER)