Dental
Famliy Dental Health Center
Famliy Dental Health Center was paid $588K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoFAMLIY DENTAL HEALTH CENTER
IDAHO FALLS, ID 83401
IDAHO FALLS, ID 83401
33aNPI1679745269assigned 03/24/2008
33bProvider typeDentist
28Total paid$588K
24GClaims24,589
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#10 of 89
Median peer was paid$16K
This provider vs. median38×
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 | 6,909 | $142K | |
| 2019 | 4,040 | $86K | |
| 2020 | 3,762 | $93K | |
| 2021 | 6,082 | $178K | |
| 2022 | 1,240 | $23K | |
| 2023 | 911 | $21K | |
| 2024incomplete | 1,645 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 2,297 | 2,296 | $178K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 25% | 1,081 | 626 | $144K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 3,466 | 1,515 | $126K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 632 | 632 | $42K |
| D2740 | Crown - porcelain/ceramic | 5.7% | 83 | 63 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 141 | 141 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 494 | 487 | $14K |
| D0330 | Panoramic radiographic image | 1.6% | 309 | 309 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 285 | 285 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 311 | 200 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 42 | 28 | $5K |
| D2394 | <1% | 20 | 12 | $4K |
8 more codes
| D0274 | Bitewings - four radiographic images | <1% | 2,502 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,438 | $483.15 |
| D1351 | Sealant - per tooth | <1% | 138 | $333.28 |
| D0120 | Dental checkup, returning patient | <1% | 2,857 | $291.99 |
| D0272 | Bitewings - two radiographic images | <1% | 329 | $190.77 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,312 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 2,810 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 1,042 | $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 officialSTALEY, GALEN (PARTNER)