Dental
Idaho State University
Idaho State University was paid $340.00 by Medicaid between Feb 2020 and Feb 2020, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoIDAHO STATE UNIVERSITY
POCATELLO, ID 83209
POCATELLO, ID 83209
33aNPI1972720936assigned 04/19/2007
33bProvider typeDental Hygienist
28Total paid$340.00
24GClaims19
24DCodes billed1
24AFirst – last monthFeb 2020 – Feb 2020
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 | |
|---|---|---|---|
| 2020 | 19 | $340.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 19 | 19 | $340.00 |
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 officialCRAWFORD, BRIAN (PROGRAM DIRECTOR DENTAL HYGIENE)
| Provider | Location | Paid |
|---|---|---|
| Paolo a Poidmore and Brian C Crawford Dental Corporation | Orangevale, CA | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.