Dental
Alligator Pediatric Dentistry ,PLLC
Alligator Pediatric Dentistry ,PLLC was paid $394K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.
33Billing provider infoALLIGATOR PEDIATRIC DENTISTRY ,PLLC
AMMON, ID 83406
AMMON, ID 83406
33aNPI1679747588assigned 04/22/2008
33bProvider typePediatric Dentist
28Total paid$394K
24GClaims22,609
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#27 of 53
Median peer was paid$394K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 3,538 | $61K | |
| 2019 | 3,299 | $60K | |
| 2020 | 2,512 | $45K | |
| 2021 | 3,089 | $56K | |
| 2022 | 3,000 | $50K | |
| 2023 | 2,316 | $41K | |
| 2024incomplete | 4,855 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 50% | 3,553 | 3,532 | $196K |
| D1110 | Prophylaxis - adult | 26% | 1,401 | 1,396 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 829 | 431 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 388 | 386 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 5,415 | 5,388 | $17K |
| D0330 | Panoramic radiographic image | 3.2% | 170 | 170 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,658 | 5,635 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 3,244 | 3,235 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 151 | 68 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 1,117 | 1,113 | $992.75 |
| D1351 | Sealant - per tooth | <1% | 382 | 59 | $840.56 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, RANDY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Randy L Smith Dba C&R Medical | Fort Worth, TX | $2.41M |
| R.D. Smith Holdings, LLC | Tulsa, OK | $893K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.