Clinic
Darren Boles DDS PLLC
Darren Boles DDS PLLC was paid $5.20M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is D4341, — 12% of everything it billed.
33Billing provider infoDARREN BOLES DDS PLLC
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1922526813assigned 08/31/2017
33bProvider typeDental Clinic/Center
28Total paid$5.20M
24GClaims120,775
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Vermont
Rank by total paid#2 of 24
Median peer was paid$80K
This provider vs. median65×
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 | 17,620 | $594K | |
| 2019 | 13,101 | $494K | |
| 2020 | 10,338 | $363K | |
| 2021 | 8,527 | $287K | |
| 2022 | 21,025 | $644K | |
| 2023 | 28,806 | $1.30M | |
| 2024incomplete | 21,358 | $1.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 12% | 5,449 | 1,275 | $648K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 5,354 | 3,114 | $644K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.5% | 1,907 | 1,240 | $284K |
| D1206 | Topical application of fluoride varnish | 5.4% | 15,461 | 13,390 | $278K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 11,917 | 10,642 | $274K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 2,762 | 1,576 | $223K |
| D1351 | Sealant - per tooth | 4.3% | 14,305 | 1,327 | $221K |
| D4346 | 4.1% | 3,735 | 2,951 | $213K | |
| D1110 | Prophylaxis - adult | 3.9% | 4,761 | 4,441 | $204K |
| D4342 | 3.7% | 1,981 | 622 | $192K | |
| D0330 | Panoramic radiographic image | 3.6% | 3,603 | 3,139 | $187K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 5,719 | 5,233 | $179K |
35 more codes
| D0274 | Bitewings - four radiographic images | 3.3% | 6,142 | $170K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 2,876 | $147K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 3,546 | $134K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.5% | 1,062 | $132K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 1,948 | $125K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 1,357 | $123K |
| D4910 | 2.3% | 1,527 | $121K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 592 | $90K |
| D1352 | 1.7% | 1,470 | $87K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 5,785 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 8,030 | $64K |
| D2394 | 1.0% | 312 | $52K | |
| D9920 | 1.0% | 1,226 | $52K | |
| D2331 | <1% | 459 | $39K | |
| D2950 | <1% | 196 | $33K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,483 | $33K |
| D7922 | <1% | 1,043 | $32K | |
| D1320 | <1% | 1,258 | $30K | |
| D2740 | Crown - porcelain/ceramic | <1% | 32 | $26K |
| D2330 | <1% | 258 | $22K | |
| D2332 | <1% | 106 | $12K | |
| D4355 | <1% | 136 | $9K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 163 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 194 | $6K |
| D2335 | <1% | 38 | $6K | |
| D1330 | <1% | 365 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 29 | $2K |
| D9110 | <1% | 26 | $1K | |
| D0240 | <1% | 51 | $1K | |
| D7880 | <1% | 14 | $997.00 | |
| D1354 | <1% | 75 | $720.00 | |
| D0470 | <1% | 14 | $629.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 136 | $0.00 |
| D9986 | 0% | 1,400 | $0.00 | |
| D1999 | 0% | 472 | $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 officialBOLES, DARREN (OWNER/DENTIST)