Rasmussen, Stanley

Rasmussen, Stanley was paid $38K by Medicaid between Jan 2018 and Aug 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoRASMUSSEN, STANLEY
COEUR D ALENE, ID 83814

33aNPI1922273770assigned 04/23/2008

33bProvider typeDentist

28Total paid$38K

24GClaims1,601

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#30 of 89

Median peer was paid$16K

This provider vs. median2.5×

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
2018	1,601	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	61%	369	368	$23K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	196	99	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	9.1%	49	27	$3K
D0210	Intraoral - complete series of radiographic images	8.3%	26	26	$3K
D0330	Panoramic radiographic image	3.9%	98	98	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.1%	46	26	$806.32
D0150	Comprehensive oral evaluation - new or established patient	<1%	52	52	$312.66
D0274	Bitewings - four radiographic images	<1%	240	240	$162.22
D0220	Intraoral - periapical first radiographic image	<1%	121	115	$26.63
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	242	242	$9.22
D1208	Topical application of fluoride, excluding varnish	0%	162	162	$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.