Dental
Idaho Dental Anesthesia PLLC
Idaho Dental Anesthesia PLLC was paid $1.16M by Medicaid between Apr 2019 and Jun 2023, across 1 billing code. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 100% of everything it billed.
33Billing provider infoIDAHO DENTAL ANESTHESIA PLLC
MERIDIAN, ID 83646
MERIDIAN, ID 83646
33aNPI1629470141assigned 09/17/2014
33bProvider typeDentist Anesthesiologist
28Total paid$1.16M
24GClaims1,673
24DCodes billed1
24AFirst – last monthApr 2019 – Jun 2023
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 00170 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 102 | $38K | |
| 2020 | 222 | $150K | |
| 2021 | 443 | $306K | |
| 2022 | 612 | $435K | |
| 2023 | 294 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 100% | 1,673 | 1,341 | $1.16M |
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 officialJUDD, RYAN (DENTIST ANESTHESIOLOGIST)