Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Merriman, Toby

Merriman, Toby was paid $538K by Medicaid between Jan 2018 and Oct 2021, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.

33Billing provider infoMERRIMAN, TOBY
MERIDIAN, ID 83646
33aNPI1407801939assigned 05/23/2006
33bProvider typePediatric Dentist
28Total paid$538K
24GClaims27,685
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Pediatric Dentist providers in Idaho

Rank by total paid#26 of 53
Median peer was paid$394K
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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20187,956$158K
20198,060$148K
20206,113$117K
20215,556$115K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 36% 3,177 3,177 $195K
D1110 Prophylaxis - adult 24% 1,651 1,650 $129K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22% 2,032 1,231 $120K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 433 433 $22K
D0330 Panoramic radiographic image 3.5% 292 292 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.1% 388 291 $17K
D0210 Intraoral - complete series of radiographic images 2.0% 138 138 $11K
D9420 1.1% 14 14 $6K
D7140 Extraction, erupted tooth or exposed root <1% 278 148 $5K
D1351 Sealant - per tooth <1% 1,982 346 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 4,435 4,433 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 19 16 $2K
7 more codes
D0140 Limited oral evaluation - problem focused <1% 55 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 519 $656.62
D0220 Intraoral - periapical first radiographic image <1% 1,677 $386.16
D0274 Bitewings - four radiographic images <1% 1,203 $97.84
D0272 Bitewings - two radiographic images <1% 2,021 $25.60
D0230 Intraoral - periapical each additional radiographic image 0% 3,076 $0.00
D1208 Topical application of fluoride, excluding varnish 0% 4,295 $-74.47

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.