Dental
Blair Pediatric Dentistry PC
Blair Pediatric Dentistry PC was paid $667K by Medicaid between Jan 2018 and Aug 2023, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoBLAIR PEDIATRIC DENTISTRY PC
BOISE, ID 83713
BOISE, ID 83713
33aNPI1629483987assigned 06/25/2014
33bProvider typePediatric Dentist
28Total paid$667K
24GClaims33,981
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#22 of 53
Median peer was paid$394K
This provider vs. median1.7×
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 | 9,195 | $166K | |
| 2019 | 6,883 | $139K | |
| 2020 | 4,840 | $91K | |
| 2021 | 5,353 | $105K | |
| 2022 | 4,930 | $103K | |
| 2023 | 2,780 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 6,825 | 6,822 | $412K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,657 | 889 | $87K |
| D1110 | Prophylaxis - adult | 12% | 936 | 936 | $80K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 468 | 467 | $22K |
| D0330 | Panoramic radiographic image | 3.1% | 204 | 204 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 7,599 | 7,598 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 191 | 84 | $11K |
| D9420 | 1.3% | 82 | 82 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 209 | 122 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 133 | 130 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 116 | 68 | $2K |
| D1351 | Sealant - per tooth | <1% | 1,858 | 445 | $2K |
7 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 38 | $984.02 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,752 | $394.78 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,358 | $56.61 |
| D0272 | Bitewings - two radiographic images | <1% | 3,161 | $31.74 |
| D1206 | Topical application of fluoride varnish | 0% | 6,686 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 623 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 85 | $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 officialBLAIR, RANDALL (PRESIDENT)