Clinic
Dental Partners Ustick PLLC
Dental Partners Ustick PLLC was paid $165K by Medicaid between Sep 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.
33Billing provider infoDENTAL PARTNERS USTICK PLLC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1841643533assigned 07/18/2016
33bProvider typeDental Clinic/Center
28Total paid$165K
24GClaims11,237
24DCodes billed12
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#9 of 39
Median peer was paid$56K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 1,311 | $22K | |
| 2019 | 3,771 | $64K | |
| 2020 | 2,245 | $32K | |
| 2021 | 1,888 | $24K | |
| 2022 | 1,134 | $10K | |
| 2023 | 448 | $7K | |
| 2024incomplete | 440 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 71% | 1,157 | 1,156 | $118K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 402 | 402 | $37K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 100 | 67 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 338 | 338 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 38 | 27 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 1,032 | 1,032 | $961.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,503 | 1,502 | $425.62 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $263.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,870 | 1,848 | $193.52 |
| D1206 | Topical application of fluoride varnish | <1% | 1,572 | 1,572 | $138.67 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,011 | 1,699 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 202 | 202 | $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 (DR)
| Provider | Location | Paid |
|---|---|---|
| Town Square Dental Partners, PLLC | Boise, ID | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.