Clinic
Club 32 Dental
Club 32 Dental was paid $647K by Medicaid between Sep 2020 and Dec 2024, across 17 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 28% of everything it billed.
33Billing provider infoCLUB 32 DENTAL
NAMPA, ID 83651
NAMPA, ID 83651
33aNPI1720698608assigned 08/05/2020
33bProvider typeDental Clinic/Center
28Total paid$647K
24GClaims19,042
24DCodes billed17
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#6 of 39
Median peer was paid$56K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 1,586 | $48K | |
| 2021 | 5,414 | $169K | |
| 2022 | 5,316 | $141K | |
| 2023 | 4,672 | $150K | |
| 2024incomplete | 2,054 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 28% | 1,524 | 1,523 | $182K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 25% | 1,067 | 269 | $163K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,246 | 757 | $88K |
| D1110 | Prophylaxis - adult | 11% | 1,980 | 1,978 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 1,415 | 245 | $34K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 226 | 166 | $33K |
| D0330 | Panoramic radiographic image | 3.5% | 2,081 | 2,079 | $23K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 1,235 | 1,229 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 719 | 473 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 2,231 | 2,228 | $8K |
| D4341 | <1% | 63 | 27 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,201 | 2,199 | $775.57 |
5 more codes
| D0120 | Dental checkup, returning patient | <1% | 93 | $150.81 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,405 | $40.65 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,207 | $35.85 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 294 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 55 | $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 officialKELLER, KIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Club 32 Dental Caldwell PLLC | Caldwell, ID | $299K |
| NS Downtown PLLC | Nampa, ID | $38K |
| Talk Heal Thrive Psychotherapy, PLLC | Seattle, WA | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.