Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Town Square Dental Partners, PLLC

Town Square Dental Partners, PLLC was paid $56K by Medicaid between Nov 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoTOWN SQUARE DENTAL PARTNERS, PLLC
BOISE, ID 83704
33aNPI1831678903assigned 08/09/2018
33bProvider typeDental Clinic/Center
28Total paid$56K
24GClaims2,721
24DCodes billed17
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Idaho

Rank by total paid#20 of 39
Median peer was paid$56K
This provider vs. median1.0×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
201813$0.00
20191,445$31K
2024incomplete1,263$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 47% 300 300 $26K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18% 193 110 $10K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 13% 14 12 $7K
D1120 Dental cleaning, childProphylaxis - child 10% 70 70 $6K
D0140 Limited oral evaluation - problem focused 3.0% 57 57 $2K
D9420 2.7% 34 34 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.5% 35 24 $1K
D9310 1.5% 57 56 $852.88
D0330 Panoramic radiographic image 1.0% 15 15 $567.86
D2950 <1% 28 24 $383.67
D0274 Bitewings - four radiographic images <1% 278 278 $224.44
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 396 396 $97.36
5 more codes
D0220 Intraoral - periapical first radiographic image <1% 379 $59.45
D0270 <1% 69 $8.93
D0272 Bitewings - two radiographic images 0% 28 $0.00
D1206 Topical application of fluoride varnish 0% 433 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 335 $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 officialKELLER, KLINT (OWNER/DOCTOR)
Same official

Other billing entities under KELLER, KLINT

Full network →
ProviderLocationPaid
Dental Partners Ustick PLLCCaldwell, ID$165K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.