BOISE CENTER FOR FOOT SURGERY PLLC
NPI: 1770598591
· MERIDIAN, ID 83642
· Ambulatory Surgical Clinic/Center
· NPI assigned 07/30/2006
$494K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHWARTZ, DEEDEE (OFFICE MANAGER) |
| NPI Enumeration Date | 07/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
197 |
$107K |
| 2019 |
225 |
$139K |
| 2020 |
217 |
$75K |
| 2021 |
664 |
$87K |
| 2022 |
390 |
$52K |
| 2023 |
174 |
$17K |
| 2024 |
208 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
503 |
482 |
$296K |
| T1015 |
Clinic visit/encounter, all-inclusive |
295 |
275 |
$174K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
407 |
221 |
$20K |
| D9420 |
|
56 |
56 |
$3K |
| D0272 |
Bitewings - two radiographic images |
284 |
283 |
$589.48 |
| D0220 |
Intraoral - periapical first radiographic image |
170 |
170 |
$102.74 |
| D1120 |
Prophylaxis - child |
218 |
218 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
142 |
142 |
$0.00 |