Dental
Associated Dentists of Coeur D'alene, PA.
Associated Dentists of Coeur D'alene, PA. was paid $1.05M by Medicaid between Oct 2019 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoASSOCIATED DENTISTS OF COEUR D'ALENE, PA.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1841201548assigned 08/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims28,220
24DCodes billed21
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#9 of 173
Median peer was paid$22K
This provider vs. median47×
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 | |
|---|---|---|---|
| 2019 | 174 | $4K | |
| 2020 | 3,323 | $115K | |
| 2021 | 5,011 | $167K | |
| 2022 | 5,482 | $173K | |
| 2023 | 6,589 | $264K | |
| 2024incomplete | 7,641 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 5,520 | 5,520 | $269K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 20% | 1,609 | 1,074 | $211K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 1,659 | 1,659 | $210K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 2,906 | 1,784 | $155K |
| D0330 | Panoramic radiographic image | 11% | 3,025 | 3,025 | $112K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 961 | 603 | $31K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 566 | 559 | $16K |
| D2394 | 1.1% | 62 | 39 | $12K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.0% | 103 | 56 | $11K |
| D4341 | <1% | 117 | 51 | $8K | |
| D4346 | <1% | 40 | 40 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,912 | 2,912 | $5K |
9 more codes
| D0274 | Bitewings - four radiographic images | <1% | 4,383 | $2K |
| D1120 | Dental cleaning, child | <1% | 24 | $1K |
| D2331 | <1% | 36 | $949.25 | |
| D2330 | <1% | 41 | $928.04 | |
| D4910 | <1% | 14 | $697.48 | |
| D0120 | Dental checkup, returning patient | <1% | 1,919 | $587.28 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 882 | $235.58 |
| D1351 | Sealant - per tooth | <1% | 405 | $229.13 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 1,036 | $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 officialRASMUSSEN, STAN (VICE PRESIDENT)