Dental
Southeast Idaho Orthodontics, PLLC
Southeast Idaho Orthodontics, PLLC was paid $39K by Medicaid between May 2018 and Sep 2020, across 1 billing code. Its largest line is D8670, Periodic orthodontic treatment visit — 100% of everything it billed.
33Billing provider infoSOUTHEAST IDAHO ORTHODONTICS, PLLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1508080599assigned 04/12/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$39K
24GClaims516
24DCodes billed1
24AFirst – last monthMay 2018 – Sep 2020
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Idaho
Rank by total paid#16 of 29
Median peer was paid$43K
This provider vs. median0.9×
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 | 149 | $11K | |
| 2019 | 244 | $16K | |
| 2020 | 123 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 100% | 516 | 516 | $39K |
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 officialJOHNSON, ERIC (OWNER)
| Provider | Location | Paid |
|---|---|---|
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| Mile High Smiles PLLC | Denver, CO | $30K |
| Resnik Medical Associates PC | Plymouth, MA | $11K |
| Eric Johnson LLC | Thornton, CO | $11K |
| Mountainlands Community Health Center, INC | Provo, UT | $7K |
| Mayflower Medical Associates PC | Plymouth, MA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.