Clinic
Parkwest Dental Care
Parkwest Dental Care was paid $21K by Medicaid between Feb 2018 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.
33Billing provider infoPARKWEST DENTAL CARE
IDAHO FALLS, ID 83402
IDAHO FALLS, ID 83402
33aNPI1861666745assigned 04/22/2008
33bProvider typeDental Clinic/Center
28Total paid$21K
24GClaims1,811
24DCodes billed8
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#28 of 39
Median peer was paid$56K
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 | 127 | $0.00 | |
| 2019 | 85 | $744.55 | |
| 2020 | 263 | $5K | |
| 2021 | 513 | $6K | |
| 2022 | 462 | $5K | |
| 2023 | 311 | $4K | |
| 2024incomplete | 50 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 71% | 276 | 276 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 70 | 70 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 20 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | 2.2% | 220 | 220 | $451.97 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 839 | 835 | $422.28 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 40 | 38 | $62.48 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 322 | 321 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 24 | 24 | $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 officialJACOBSON, BRETT (OWNER/DENTIST)