Madison Park Dental Center

Madison Park Dental Center was paid $9K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 83% of everything it billed.

33Billing provider infoMADISON PARK DENTAL CENTER
REXBURG, ID 83440

33aNPI1831545102assigned 05/05/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims528

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#111 of 173

Median peer was paid$22K

This provider vs. median0.4×

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	71	$1K
2019	13	$0.00
2020	25	$32.79
2021	114	$2K
2022	116	$480.39
2023	68	$426.71
2024incomplete	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	83%	118	118	$7K
D1120	Dental cleaning, childProphylaxis - child	10%	12	12	$902.77
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.8%	359	359	$515.75
D0274	Bitewings - four radiographic images	<1%	27	27	$56.61
D1206	Topical application of fluoride varnish	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 officialTALL, MARK (OWNER)