Dental
Chubbuck Kidz Dental PC
Chubbuck Kidz Dental PC was paid $72K by Medicaid between Dec 2023 and Dec 2024, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.
33Billing provider infoCHUBBUCK KIDZ DENTAL PC
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
33aNPI1801679287assigned 08/17/2023
33bProvider typePediatric Dentist
28Total paid$72K
24GClaims5,091
24DCodes billed19
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#42 of 53
Median peer was paid$394K
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 | |
|---|---|---|---|
| 2023 | 54 | $654.05 | |
| 2024incomplete | 5,037 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 36% | 303 | 118 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 378 | 377 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 150 | 150 | $10K |
| D0140 | Limited oral evaluation - problem focused | 6.6% | 150 | 148 | $5K |
| D1110 | Prophylaxis - adult | 4.9% | 52 | 52 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 82 | 56 | $3K |
| D9248 | 3.2% | 30 | 29 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 101 | 43 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 12 | 12 | $2K |
| D1351 | Sealant - per tooth | 1.5% | 853 | 197 | $1K |
| D0330 | Panoramic radiographic image | 1.0% | 27 | 27 | $745.51 |
| D1206 | Topical application of fluoride varnish | <1% | 441 | 440 | $553.81 |
7 more codes
| D1354 | <1% | 275 | $340.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 39 | $157.30 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 234 | $43.95 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 489 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 226 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 985 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 264 | $-21.53 |
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 officialEVANS, MAGDALENA (SR. CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Smiles 4 Kids PC | Omaha, NE | $11.46M |
| Chidren's Dentistry of South Omaha, LLC | Omaha, NE | $8.61M |
| Kids Dental of Dayton-Joan-Florence Besana Salido DDS INC | Dayton, OH | $3.41M |
| Houston Red Oak Drive Dental, PC | Houston, TX | $3.33M |
| William Street Dental Health Center PC | Carson City, NV | $2.11M |
| DR Larosliere DDS - Baltimore INC | Baltimore, MD | $1.04M |
| Oregon Dentistry Stephen Branam, DDS INC. | Oregon, OH | $1.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.