Physician
Northwestern Band of the Shoshone
Northwestern Band of the Shoshone was paid $8.54M by Medicaid between Jul 2019 and Dec 2024, across 30 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 63% of everything it billed.
33Billing provider infoNORTHWESTERN BAND OF THE SHOSHONE
BRIGHAM CITY, UT 84302
BRIGHAM CITY, UT 84302
33aNPI1841856986assigned 05/14/2019
33bProvider typeGeneral Practice Physician
28Total paid$8.54M
24GClaims33,559
24DCodes billed30
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Utah
Rank by total paid#3 of 11
Median peer was paid$519K
This provider vs. median16×
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 | 361 | $55K | |
| 2020 | 1,750 | $318K | |
| 2021 | 4,592 | $771K | |
| 2022 | 5,652 | $1.27M | |
| 2023 | 7,983 | $2.02M | |
| 2024incomplete | 13,221 | $4.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 63% | 11,799 | 7,105 | $5.37M |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 4,540 | 4,119 | $662K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 1,811 | 1,771 | $606K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 1,093 | 995 | $383K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.2% | 1,309 | 780 | $362K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 835 | 576 | $166K |
| D1110 | Prophylaxis - adult | 1.7% | 1,729 | 1,618 | $148K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 296 | 213 | $114K |
| D2740 | Crown - porcelain/ceramic | 1.1% | 275 | 199 | $98K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,945 | 2,796 | $97K |
| D2950 | 1.1% | 539 | 402 | $90K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 239 | 234 | $76K |
18 more codes
| D0330 | Panoramic radiographic image | <1% | 1,014 | $76K |
| D0274 | Bitewings - four radiographic images | <1% | 2,656 | $75K |
| D2140 | <1% | 244 | $67K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 305 | $53K |
| D4355 | <1% | 139 | $25K | |
| D1351 | Sealant - per tooth | <1% | 317 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 123 | $14K |
| D2160 | <1% | 28 | $10K | |
| D2331 | <1% | 83 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 829 | $5K |
| D2330 | <1% | 58 | $4K | |
| D3120 | <1% | 19 | $3K | |
| D2332 | <1% | 15 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 41 | $2K |
| D1330 | 0% | 181 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 20 | $0.00 |
| D4341 | 0% | 23 | $0.00 | |
| D4910 | 0% | 54 | $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 officialTIMBIMBOO, HUNTER (DIRECTOR OF HEALTH & HUMAN SERVICES)