Dental
Idaho Pediatric Dentistry
Idaho Pediatric Dentistry was paid $4.91M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoIDAHO PEDIATRIC DENTISTRY
NAMPA, ID 83687
NAMPA, ID 83687
33aNPI1467697177assigned 12/09/2008
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$4.91M
24GClaims226,544
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Idaho
Rank by total paid#1 of 29
Median peer was paid$43K
This provider vs. median114×
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 | 35,020 | $734K | |
| 2019 | 34,655 | $764K | |
| 2020 | 28,721 | $600K | |
| 2021 | 34,739 | $758K | |
| 2022 | 33,526 | $747K | |
| 2023 | 32,903 | $710K | |
| 2024incomplete | 26,980 | $601K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 21,688 | 21,672 | $1.62M |
| D1110 | Prophylaxis - adult | 26% | 10,341 | 10,332 | $1.26M |
| D0330 | Panoramic radiographic image | 6.6% | 4,231 | 4,227 | $325K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 1,357 | 1,357 | $303K |
| D9420 | 5.4% | 911 | 908 | $266K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 2,968 | 2,061 | $224K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 5,506 | 1,124 | $203K |
| D8670 | Periodic orthodontic treatment visit | 4.0% | 2,575 | 2,554 | $195K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 7,071 | 7,064 | $183K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 1,736 | 1,441 | $100K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,834 | 1,820 | $58K |
| D8660 | 1.2% | 955 | 947 | $57K |
17 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,105 | $39K |
| D2932 | <1% | 93 | $21K | |
| D1351 | Sealant - per tooth | <1% | 51,477 | $20K |
| D0274 | Bitewings - four radiographic images | <1% | 9,762 | $10K |
| D9248 | <1% | 58 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 4,402 | $6K |
| D0120 | Dental checkup, returning patient | <1% | 23,688 | $5K |
| D1354 | <1% | 867 | $4K | |
| D2332 | <1% | 16 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13,542 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 17,918 | $920.13 |
| D2920 | <1% | 12 | $570.33 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 823 | $141.26 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 23,798 | $27.10 |
| D0240 | <1% | 105 | $8.70 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 9,789 | $8.19 |
| D1206 | Topical application of fluoride varnish | 0% | 7,916 | $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 officialLOVELAND, CHRISTOPHER (OWNER)