Driscoll, Mitch

Driscoll, Mitch was paid $28K by Medicaid between Feb 2018 and Jul 2020, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 73% of everything it billed.

33Billing provider infoDRISCOLL, MITCH
ABERDEEN, ID 83210

33aNPI1790190692assigned 06/30/2014

33bProvider typeDentist

28Total paid$28K

24GClaims1,694

24DCodes billed9

24AFirst – last monthFeb 2018 – Jul 2020

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#35 of 89

Median peer was paid$16K

This provider vs. median1.8×

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	513	$10K
2019	645	$7K
2020	536	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	73%	222	221	$20K
D1120	Dental cleaning, childProphylaxis - child	16%	65	65	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10%	28	13	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	379	378	$91.18
D0150	Comprehensive oral evaluation - new or established patient	<1%	14	14	$60.94
D0230	Intraoral - periapical each additional radiographic image	<1%	168	104	$17.41
D0220	Intraoral - periapical first radiographic image	<1%	262	244	$9.22
D1208	Topical application of fluoride, excluding varnish	0%	441	440	$0.00
D0274	Bitewings - four radiographic images	0%	115	114	$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.