Dental
Robert L. Fackrell DDS PA
Robert L. Fackrell DDS PA was paid $2K by Medicaid between Jun 2020 and Dec 2022, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 84% of everything it billed.
33Billing provider infoROBERT L. FACKRELL DDS PA
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1801225180assigned 11/06/2013
33bProvider typeDentist
28Total paid$2K
24GClaims102
24DCodes billed3
24AFirst – last monthJun 2020 – Dec 2022
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#67 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 | |
|---|---|---|---|
| 2020 | 28 | $1K | |
| 2021 | 12 | $278.36 | |
| 2022 | 62 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 84% | 25 | 24 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 65 | 65 | $394.51 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | 12 | $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 officialFACKRELL, ROBERT (PRESIDENT)