Dental
Cherry Lane Kids Dentistry
Cherry Lane Kids Dentistry was paid $279K by Medicaid between Jan 2018 and Jul 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoCHERRY LANE KIDS DENTISTRY
MERIDIAN, ID 83642
MERIDIAN, ID 83642
33aNPI1902325749assigned 09/13/2017
33bProvider typePediatric Dentist
28Total paid$279K
24GClaims16,782
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#31 of 53
Median peer was paid$394K
This provider vs. median0.7×
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 | 5,117 | $86K | |
| 2019 | 7,476 | $127K | |
| 2020 | 4,189 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,346 | 1,346 | $74K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 597 | 368 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 800 | 800 | $43K |
| D0274 | Bitewings - four radiographic images | 9.9% | 582 | 582 | $28K |
| D1110 | Prophylaxis - adult | 9.8% | 549 | 549 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 95 | 95 | $20K |
| D0330 | Panoramic radiographic image | 7.0% | 294 | 294 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 308 | 221 | $16K |
| D1351 | Sealant - per tooth | 1.2% | 2,734 | 496 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 18 | 18 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 980 | 980 | $300.56 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 678 | 571 | $94.05 |
4 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 officialELQUIST, RHONDA (REGIONAL OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Smiles 4 Kids Caldwell | Caldwell, ID | $8.47M |
| Playhouse Dentistry for Kids | Mountain Home, ID | $1.66M |
| Smiles 4 Kids Hailey | Hailey, ID | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.