Dental
Yellowstone Dental Associates, PLLC
Yellowstone Dental Associates, PLLC was paid $33K by Medicaid between Apr 2021 and Aug 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 97% of everything it billed.
33Billing provider infoYELLOWSTONE DENTAL ASSOCIATES, PLLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1588293146assigned 04/06/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$33K
24GClaims1,325
24DCodes billed6
24AFirst – last monthApr 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#78 of 173
Median peer was paid$22K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 399 | $9K | |
| 2022 | 464 | $10K | |
| 2023 | 361 | $9K | |
| 2024incomplete | 101 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 97% | 417 | 417 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 404 | 404 | $722.19 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 278 | 271 | $262.30 |
| D0274 | Bitewings - four radiographic images | <1% | 36 | 36 | $68.66 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 175 | 103 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 15 | 15 | $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 officialASHCRAFT, TAYLOR (PRACTICE MANAGER)