Managed care
Idaho Oral Surgery PLLC
Idaho Oral Surgery PLLC was paid $2K by Medicaid between Jan 2018 and Jul 2019, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoIDAHO ORAL SURGERY PLLC
FRUITLAND, ID 83619
FRUITLAND, ID 83619
33aNPI1912172958assigned 04/29/2008
33bProvider typeExclusive Provider Organization
28Total paid$2K
24GClaims84
24DCodes billed1
24AFirst – last monthJan 2018 – Jul 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 | 59 | $1K | |
| 2019 | 25 | $624.45 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 84 | 84 | $2K |
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 officialHILLAM, RYAN (SURGEON)