Dental
Boise Bench Dentistry
Boise Bench Dentistry was paid $3K by Medicaid between Mar 2022 and Oct 2024, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoBOISE BENCH DENTISTRY
BOISE, ID 83704
BOISE, ID 83704
33aNPI1770770026assigned 10/01/2007
33bProvider typeDentist
28Total paid$3K
24GClaims36
24DCodes billed1
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#65 of 89
Median peer was paid$16K
This provider vs. median0.2×
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 | 12 | $705.54 | |
| 2023 | 12 | $847.66 | |
| 2024incomplete | 12 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 36 | 36 | $3K |
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 officialSHELTON WAGERS, JILL (DENTIST)