Dental
Children's Dentistry of Idaho, PLLC
Children's Dentistry of Idaho, PLLC was paid $3.89M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY OF IDAHO, PLLC
NAMPA, ID 83686
NAMPA, ID 83686
33aNPI1689942849assigned 12/02/2011
33bProvider typePediatric Dentist
28Total paid$3.89M
24GClaims209,365
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#5 of 53
Median peer was paid$394K
This provider vs. median9.9×
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 | 25,630 | $469K | |
| 2019 | 33,205 | $684K | |
| 2020 | 24,918 | $506K | |
| 2021 | 31,678 | $635K | |
| 2022 | 33,419 | $584K | |
| 2023 | 32,066 | $540K | |
| 2024incomplete | 28,449 | $472K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 29,811 | 29,766 | $1.16M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 25,467 | 25,439 | $801K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 8,709 | 2,457 | $472K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 4,522 | 2,399 | $278K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 3,276 | 3,265 | $253K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 3,984 | 3,928 | $146K |
| D2934 | 3.7% | 460 | 125 | $145K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 4,093 | 2,053 | $133K |
| D9420 | 3.1% | 1,016 | 1,012 | $122K | |
| D0330 | Panoramic radiographic image | 3.1% | 1,259 | 1,258 | $121K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,735 | 977 | $48K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 753 | 751 | $32K |
14 more codes
| D1110 | Prophylaxis - adult | <1% | 268 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29,885 | $28K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 434 | $27K |
| D1351 | Sealant - per tooth | <1% | 13,776 | $26K |
| D0272 | Bitewings - two radiographic images | <1% | 19,868 | $14K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 22,606 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 29,369 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 5,915 | $13K |
| D1510 | <1% | 34 | $8K | |
| D4346 | <1% | 24 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 784 | $1K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 523 | $999.46 |
| D1354 | <1% | 616 | $187.00 | |
| D1330 | 0% | 178 | $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 officialBRYSON, JEFFREY (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Childrens Dentistry | Ontario, OR | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.