Dental
Crofoot, Bo
Crofoot, Bo was paid $741.54 by Medicaid between Feb 2022 and Sep 2022, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoCROFOOT, BO
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1669532230assigned 12/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$741.54
24GClaims27
24DCodes billed2
24AFirst – last monthFeb 2022 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#154 of 173
Median peer was paid$22K
This provider vs. median0.0×
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 | 27 | $741.54 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $741.54 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 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.