Dental
Childrens Dentistry of Fruitland
Childrens Dentistry of Fruitland was paid $233K by Medicaid between Apr 2022 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoCHILDRENS DENTISTRY OF FRUITLAND
FRUITLAND, ID 83619
FRUITLAND, ID 83619
33aNPI1619634250assigned 11/18/2021
33bProvider typePediatric Dentist
28Total paid$233K
24GClaims10,640
24DCodes billed13
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#34 of 53
Median peer was paid$394K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 3,783 | $87K | |
| 2023 | 4,842 | $106K | |
| 2024incomplete | 2,015 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 2,218 | 2,181 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,784 | 1,762 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 2,083 | 2,047 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 1,426 | 1,391 | $17K |
| D0272 | Bitewings - two radiographic images | 5.8% | 894 | 880 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 1,430 | 852 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 315 | 301 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 159 | 159 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.3% | 55 | 28 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 66 | 40 | $5K |
| D1351 | Sealant - per tooth | 1.9% | 152 | 45 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 44 | 44 | $2K |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 14 | $501.00 |
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 officialMITCHELL, RACHEL (BUSINESS MANAGER)
Parent organizationCHILDREN'S DENTISTRY OF IDAHO, PLLC
| Provider | Location | Paid |
|---|---|---|
| Durham Emergency Physicians, PA | Durham, NC | $1.18M |
| Sprout Pediatric Dentistry,pllc | Boise, ID | $128K |
| Cumberland Internal Medicine, PA | Fayetteville, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.