KSS Dental Group PLLC

KSS Dental Group PLLC was paid $10K by Medicaid between Jan 2018 and Jul 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.

33Billing provider infoKSS DENTAL GROUP PLLC
CALDWELL, ID 83605

33aNPI1457704009assigned 07/19/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims893

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#108 of 173

Median peer was paid$22K

This provider vs. median0.4×

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

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	337	$3K
2019	223	$3K
2020	140	$2K
2021	82	$0.00
2022	111	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	65%	92	92	$6K
D1120	Dental cleaning, childProphylaxis - child	33%	55	55	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.2%	444	444	$116.56
D0274	Bitewings - four radiographic images	<1%	71	71	$56.61
D1208	Topical application of fluoride, excluding varnish	0%	219	219	$0.00
D1206	Topical application of fluoride varnish	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 officialSTUCKI, KEITH (MANAGER)

Parent organizationKSS DENTAL GROUP PLLC