Clinic
Cda Kids Dentistry PLLC
Cda Kids Dentistry PLLC was paid $1.77M by Medicaid between Apr 2022 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoCDA KIDS DENTISTRY PLLC
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1689346736assigned 09/28/2021
33bProvider typeDental Clinic/Center
28Total paid$1.77M
24GClaims70,814
24DCodes billed27
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#4 of 39
Median peer was paid$56K
This provider vs. median32×
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 | 9,903 | $222K | |
| 2023 | 29,112 | $712K | |
| 2024incomplete | 31,799 | $840K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 6,190 | 6,183 | $334K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 4,696 | 2,129 | $299K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 2,282 | 894 | $239K |
| D2934 | 10% | 589 | 164 | $185K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 3,579 | 3,578 | $170K |
| D1110 | Prophylaxis - adult | 7.9% | 1,691 | 1,691 | $139K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 2,616 | 1,541 | $105K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,824 | 1,799 | $63K |
| D0330 | Panoramic radiographic image | 2.8% | 850 | 850 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 2,236 | 1,005 | $48K |
| D1351 | Sealant - per tooth | 2.6% | 10,169 | 1,964 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 135 | 107 | $32K |
15 more codes
| D1510 | 1.5% | 118 | $26K | |
| D2331 | 1.2% | 397 | $22K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 33 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,855 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 4,432 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 782 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 6,498 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,516 | $783.48 |
| D0272 | Bitewings - two radiographic images | <1% | 3,361 | $653.18 |
| D1354 | <1% | 549 | $646.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,164 | $617.44 |
| D0274 | Bitewings - four radiographic images | <1% | 1,088 | $538.44 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 57 | $96.50 |
| D0270 | 0% | 42 | $0.00 | |
| D9986 | 0% | 65 | $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 officialMORIN, DEVIN (MANAGING MEMBER/SOLE MEMBER)