Dental
Ikdo Star LLC
Ikdo Star LLC was paid $66K by Medicaid between Jan 2020 and Aug 2022, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.
33Billing provider infoIKDO STAR LLC
STAR, ID 83669
STAR, ID 83669
33aNPI1861954026assigned 04/04/2019
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$66K
24GClaims3,915
24DCodes billed15
24AFirst – last monthJan 2020 – Aug 2022
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Idaho
Rank by total paid#12 of 29
Median peer was paid$43K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 496 | $7K | |
| 2021 | 1,848 | $31K | |
| 2022 | 1,571 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 50% | 719 | 718 | $33K |
| D1110 | Prophylaxis - adult | 16% | 137 | 136 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 52 | 30 | $6K |
| D0330 | Panoramic radiographic image | 8.2% | 72 | 72 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 207 | 207 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 64 | 29 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 519 | 517 | $1K |
| D1351 | Sealant - per tooth | 1.0% | 346 | 71 | $676.65 |
| D0140 | Limited oral evaluation - problem focused | <1% | 17 | 17 | $616.49 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 270 | 237 | $291.49 |
| D0272 | Bitewings - two radiographic images | <1% | 505 | 505 | $246.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 621 | 621 | $0.00 |
3 more codes
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 officialPAYNE, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ikdo Fruitland LLC | Fruitland, ID | $214K |
| Ikdo South Meridian LLC | Meridian, ID | $69K |
| MT Washington Family Practice PLLC | Mt Washington, KY | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.