Malad Valley Dental Clinic

Malad Valley Dental Clinic was paid $70K by Medicaid between Jun 2020 and Sep 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoMALAD VALLEY DENTAL CLINIC
MALAD CITY, ID 83252

33aNPI1427682301assigned 02/28/2020

33bProvider typeDentist

28Total paid$70K

24GClaims2,564

24DCodes billed12

24AFirst – last monthJun 2020 – Sep 2024

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#27 of 89

Median peer was paid$16K

This provider vs. median4.5×

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
2020	257	$4K
2021	773	$21K
2022	960	$29K
2023	415	$12K
2024incomplete	159	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	531	525	$35K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	34%	341	205	$24K
D1120	Dental cleaning, childProphylaxis - child	14%	154	154	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.9%	33	24	$1K
D1206	Topical application of fluoride varnish	<1%	219	218	$204.60
D0140	Limited oral evaluation - problem focused	<1%	13	13	$163.41
D0274	Bitewings - four radiographic images	<1%	149	149	$120.94
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	979	974	$32.04
D1208	Topical application of fluoride, excluding varnish	<1%	52	52	$27.10
D0220	Intraoral - periapical first radiographic image	<1%	64	63	$9.22
D0230	Intraoral - periapical each additional radiographic image	0%	17	14	$0.00
D0272	Bitewings - two radiographic images	0%	12	12	$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 officialTHORPE, EDGAR (DENTIST)