Managed care
Edgewater Dental
Edgewater Dental was paid $2K by Medicaid between Mar 2018 and Apr 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoEDGEWATER DENTAL
NAMPA, ID 83686
NAMPA, ID 83686
33aNPI1891967659assigned 04/01/2008
33bProvider typeHealth Maintenance Organization
28Total paid$2K
24GClaims96
24DCodes billed3
24AFirst – last monthMar 2018 – Apr 2019
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 | 83 | $1K | |
| 2019 | 13 | $626.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 42 | 42 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 42 | 42 | $0.55 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 12 | 12 | $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 officialMILICH, RHONDA (RECEPTIONIST)