Bear Lake Dental Care, PLLC

Bear Lake Dental Care, PLLC was paid $147K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 63% of everything it billed.

33Billing provider infoBEAR LAKE DENTAL CARE, PLLC
MONTPELIER, ID 83254

33aNPI1811001498assigned 08/19/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$147K

24GClaims7,492

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#37 of 173

Median peer was paid$22K

This provider vs. median6.5×

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	931	$17K
2019	788	$10K
2020	1,205	$24K
2021	1,472	$30K
2022	1,250	$26K
2023	1,151	$25K
2024incomplete	695	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	63%	1,357	1,356	$92K
D1120	Dental cleaning, childProphylaxis - child	23%	648	646	$34K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.8%	210	119	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.0%	3,075	3,070	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.4%	53	39	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	1,207	1,206	$1K
D0274	Bitewings - four radiographic images	<1%	236	235	$762.05
D1206	Topical application of fluoride varnish	<1%	409	409	$366.13
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$330.09
D0272	Bitewings - two radiographic images	<1%	79	79	$166.80
D0220	Intraoral - periapical first radiographic image	<1%	167	165	$38.48
D0230	Intraoral - periapical each additional radiographic image	0%	39	39	$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 officialTIMOTHY, LINDA (BUSINESS MANAGER)