Dental
Stephenson, Scott
Stephenson, Scott was paid $49K by Medicaid between Aug 2019 and Jan 2020, across 15 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 24% of everything it billed.
33Billing provider infoSTEPHENSON, SCOTT
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1669809422assigned 10/10/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$49K
24GClaims1,414
24DCodes billed15
24AFirst – last monthAug 2019 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#64 of 173
Median peer was paid$22K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2019 | 1,250 | $43K | |
| 2020 | 164 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 24% | 135 | 135 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 124 | 47 | $11K |
| D1110 | Prophylaxis - adult | 16% | 140 | 140 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 116 | 62 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 222 | 61 | $3K |
| D0140 | Limited oral evaluation - problem focused | 6.5% | 142 | 139 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.7% | 26 | 15 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 196 | 196 | $968.71 |
| D2331 | 1.4% | 19 | 14 | $697.91 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 49 | 25 | $541.59 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 136 | 133 | $9.22 |
| D0274 | Bitewings - four radiographic images | 0% | 25 | 25 | $0.00 |
3 more codes
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.