Dental
Meridian Pediatric Dentistry, PLLC
Meridian Pediatric Dentistry, PLLC was paid $16K by Medicaid between Sep 2021 and Nov 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoMERIDIAN PEDIATRIC DENTISTRY, PLLC
MERIDIAN, ID 83646
MERIDIAN, ID 83646
33aNPI1811156722assigned 06/05/2008
33bProvider typePediatric Dentist
28Total paid$16K
24GClaims691
24DCodes billed10
24AFirst – last monthSep 2021 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#49 of 53
Median peer was paid$394K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 691 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 86 | 86 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 34% | 75 | 50 | $5K |
| D1110 | Prophylaxis - adult | 24% | 45 | 45 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 145 | 145 | $221.82 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 57 | 52 | $50.23 |
| D0274 | Bitewings - four radiographic images | 0% | 20 | 20 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 39 | 38 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 105 | 105 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 62 | 62 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 57 | 17 | $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 officialMERRIMAN, TOBY (OWNER)