Elison Dental Center

Elison Dental Center was paid $101K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 72% of everything it billed.

33Billing provider infoELISON DENTAL CENTER
IDAHO FALLS, ID 83404

33aNPI1932368222assigned 06/03/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$101K

24GClaims4,913

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#43 of 173

Median peer was paid$22K

This provider vs. median4.5×

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	677	$12K
2019	813	$16K
2020	601	$10K
2021	878	$16K
2022	1,049	$24K
2023	588	$14K
2024incomplete	307	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	72%	1,070	1,067	$73K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	309	162	$17K
D1120	Dental cleaning, childProphylaxis - child	8.0%	146	146	$8K
D0140	Limited oral evaluation - problem focused	1.3%	61	59	$1K
D0274	Bitewings - four radiographic images	<1%	675	673	$735.28
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,597	1,593	$455.22
D1206	Topical application of fluoride varnish	0%	901	899	$0.00
D0272	Bitewings - two radiographic images	0%	82	82	$0.00
D0220	Intraoral - periapical first radiographic image	0%	72	69	$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 officialELISON, MICHAEL (PRESIDENT)