Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOYLE FAMILY DENTAL

NPI: 1659748903 · IDAHO FALLS, ID 83404 · Dental Clinic/Center · NPI assigned 08/21/2015

$43K
Total Medicaid Paid
1,448
Total Claims
1,445
Beneficiaries
8
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOYLE, STEVEN (OWNER)
NPI Enumeration Date08/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79 $114.24
2019 24 $67.85
2020 200 $5K
2021 304 $10K
2022 356 $12K
2023 253 $9K
2024 232 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 478 477 $38K
D0140 Limited oral evaluation - problem focused 212 212 $5K
D0120 Periodic oral evaluation - established patient 364 363 $166.77
D1120 Prophylaxis - child 13 13 $165.98
D0274 Bitewings - four radiographic images 76 76 $138.58
D1208 Topical application of fluoride, excluding varnish 253 252 $22.77
D1206 Topical application of fluoride varnish 38 38 $0.00
D1999 14 14 $0.00