Dental
Idaho Falls Smiles, PLLC
Idaho Falls Smiles, PLLC was paid $17K by Medicaid between Jan 2018 and Nov 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 82% of everything it billed.
33Billing provider infoIDAHO FALLS SMILES, PLLC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1649610726assigned 07/03/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims1,100
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#96 of 173
Median peer was paid$22K
This provider vs. median0.8×
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 | 183 | $3K | |
| 2019 | 134 | $19.24 | |
| 2020 | 197 | $4K | |
| 2021 | 142 | $3K | |
| 2022 | 295 | $4K | |
| 2023 | 149 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 82% | 204 | 203 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 41 | 41 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 495 | 494 | $134.84 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 58 | 56 | $19.73 |
| D1206 | Topical application of fluoride varnish | 0% | 186 | 186 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 45 | 39 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 56 | 56 | $0.00 |
| D0272 | Bitewings - two radiographic images | 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 officialHENINGER, DAVID (PRESIDENT/PART-OWNER)