Dental
Idaho State University
Idaho State University was paid $3K by Medicaid between Feb 2021 and Oct 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 99% of everything it billed.
33Billing provider infoIDAHO STATE UNIVERSITY
BOISE, ID 83716
BOISE, ID 83716
33aNPI1912110164assigned 05/07/2007
33bProvider typeDentist
28Total paid$3K
24GClaims143
24DCodes billed4
24AFirst – last monthFeb 2021 – Oct 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#60 of 89
Median peer was paid$16K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 12 | $19.24 | |
| 2022 | 60 | $2K | |
| 2023 | 43 | $639.14 | |
| 2024incomplete | 28 | $637.29 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 99% | 72 | 71 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 40 | 39 | $38.48 |
| D0274 | Bitewings - four radiographic images | 0% | 16 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | 13 | $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 officialFREEMAN, TINA (OFFICE MANAGER)