Blackrock Dental Partners, PLLC

Blackrock Dental Partners, PLLC was paid $16K by Medicaid between Jan 2018 and Feb 2021, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 93% of everything it billed.

33Billing provider infoBLACKROCK DENTAL PARTNERS, PLLC
POCATELLO, ID 83201

33aNPI1356643308assigned 11/24/2010

33bProvider typeDentist

28Total paid$16K

24GClaims568

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#44 of 89

Median peer was paid$16K

This provider vs. median1.0×

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
2018	86	$2K
2019	37	$2K
2020	357	$10K
2021	88	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	93%	256	254	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.3%	232	232	$679.25
D0274	Bitewings - four radiographic images	2.1%	39	39	$331.98
D0230	Intraoral - periapical each additional radiographic image	<1%	13	12	$68.66
D1206	Topical application of fluoride varnish	0%	13	13	$0.00
D0220	Intraoral - periapical first radiographic image	0%	15	15	$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 officialGIBBONS, JOSHUA (OWNER)