Snake River Dental INC.
Snake River Dental INC. was paid $2K by Medicaid between May 2018 and Feb 2023, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 99% of everything it billed.
PAYETTE, ID 83661
Next to other Dentist providers in Idaho
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 66 | $0.00 | |
| 2019 | 88 | $650.54 | |
| 2020 | 102 | $1K | |
| 2021 | 37 | $0.00 | |
| 2022 | 26 | $0.00 | |
| 2023 | 13 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 99% | 39 | 39 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 101 | 101 | $13.55 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 192 | 192 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Kaaum Enterprises | Colorado Springs, CO | $34.28M |
| Select Reference Laboratories, LLC | Greensboro, NC | $3.02M |
| Osf Lifeline Ambulance, LLC | Rockford, IL | $1.81M |
| General Optical Company | Burton, MI | $1.57M |
| James D. Moore, DDS, Professional LLC | Durango, CO | $515K |
| Valmoor LLC | Toledo, OH | $294K |
| Select Laboratories-Marion County | Ocala, FL | $158K |
| Moore Vision INC | Mccomb, MS | $36K |
| Park Place Surgery Center, LLC | Lafayette, LA | $33K |
| Humboldt Physical Therapy, INC | Arcata, CA | $126.26 |
| Dollar Cab Company | Alamogordo, NM | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.