Dental
Treasure Valley Pediatric Dentistry
Treasure Valley Pediatric Dentistry was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoTREASURE VALLEY PEDIATRIC DENTISTRY
BOISE, ID 83709
BOISE, ID 83709
33aNPI1568902286assigned 02/28/2017
33bProvider typePediatric Dentist
28Total paid$3.19M
24GClaims130,528
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#8 of 53
Median peer was paid$394K
This provider vs. median8.1×
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 | 29,836 | $658K | |
| 2019 | 25,289 | $572K | |
| 2020 | 15,755 | $370K | |
| 2021 | 15,659 | $377K | |
| 2022 | 15,205 | $398K | |
| 2023 | 14,603 | $404K | |
| 2024incomplete | 14,181 | $413K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 12,731 | 12,705 | $805K |
| D1110 | Prophylaxis - adult | 19% | 7,266 | 7,262 | $612K |
| D9420 | 19% | 2,296 | 2,291 | $601K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 11,235 | 4,788 | $486K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.5% | 1,563 | 971 | $145K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 5,485 | 2,204 | $126K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 7,110 | 3,389 | $110K |
| D0330 | Panoramic radiographic image | 2.5% | 1,554 | 1,553 | $78K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 1,136 | 1,130 | $78K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.4% | 727 | 271 | $75K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,257 | 1,237 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 12,867 | 12,860 | $12K |
17 more codes
| D7240 | Removal of impacted tooth - completely bony | <1% | 41 | $10K |
| D1351 | Sealant - per tooth | <1% | 10,201 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 6,191 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 980 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14,641 | $2K |
| D2331 | <1% | 30 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 11,915 | $928.70 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,908 | $796.70 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $352.21 |
| D7111 | <1% | 247 | $274.60 | |
| D2330 | <1% | 17 | $240.28 | |
| D1206 | Topical application of fluoride varnish | <1% | 3,137 | $203.81 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,504 | $172.51 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 10,316 | $0.00 |
| D3110 | 0% | 124 | $0.00 | |
| D4355 | 0% | 14 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 22 | $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 officialROGERS, ROY (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| River City Surgical Center | Boise, ID | $4.09M |
| R & D Anesthesia | Boise, ID | $938K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.