Dental
Eagle Rock Dental Care of Rexburg
Eagle Rock Dental Care of Rexburg was paid $14K by Medicaid between Mar 2018 and Dec 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoEAGLE ROCK DENTAL CARE OF REXBURG
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1831213149assigned 03/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims657
24DCodes billed5
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#102 of 173
Median peer was paid$22K
This provider vs. median0.6×
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 | 61 | $1K | |
| 2019 | 111 | $2K | |
| 2020 | 139 | $4K | |
| 2021 | 57 | $0.00 | |
| 2022 | 107 | $2K | |
| 2023 | 144 | $4K | |
| 2024incomplete | 38 | $735.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 106 | 105 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 89 | 89 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 23 | 13 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 411 | 411 | $54.35 |
| D1206 | Topical application of fluoride varnish | 0% | 28 | 28 | $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 officialCHAPPLE, TRUDEE (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Eagle Rock Dental Care | Idaho Falls, ID | $23K |
| Eagle Rock Dental Care Arco PLLC | Arco, ID | $827.51 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.