Bourassa, Nathan

Bourassa, Nathan was paid $32K by Medicaid between Jan 2018 and Jan 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 97% of everything it billed.

33Billing provider infoBOURASSA, NATHAN
POST FALLS, ID 83854

33aNPI1669662995assigned 08/01/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims1,307

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#80 of 173

Median peer was paid$22K

This provider vs. median1.4×

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	509	$12K
2019	213	$7K
2020	236	$8K
2021	195	$6K
2022	141	$974.26
2023	13	$93.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	97%	443	443	$31K
D1120	Dental cleaning, childProphylaxis - child	1.6%	12	12	$523.70
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	471	471	$318.04
D0274	Bitewings - four radiographic images	<1%	164	164	$113.22
D1208	Topical application of fluoride, excluding varnish	0%	149	149	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	27	27	$0.00
D0220	Intraoral - periapical first radiographic image	0%	41	41	$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.