Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Silver Lake Dental PLLC

Silver Lake Dental PLLC was paid $230K by Medicaid between Jan 2018 and Oct 2019, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoSILVER LAKE DENTAL PLLC
COUR D ALENE, ID 83815
33aNPI1982709390assigned 09/13/2006
28Total paid$230K
24GClaims9,854
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#32 of 173
Median peer was paid$22K
This provider vs. median10×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20185,618$129K
20194,236$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 27% 844 843 $63K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20% 1,021 506 $46K
D1120 Dental cleaning, childProphylaxis - child 15% 407 407 $35K
D0210 Intraoral - complete series of radiographic images 14% 320 320 $32K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12% 286 199 $28K
D0140 Limited oral evaluation - problem focused 4.1% 348 345 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.5% 483 258 $8K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 588 585 $5K
D1351 Sealant - per tooth 1.3% 692 158 $3K
D0274 Bitewings - four radiographic images <1% 418 418 $491.84
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 761 761 $255.90
D0220 Intraoral - periapical first radiographic image <1% 1,046 1,027 $212.01
4 more codes
D1208 Topical application of fluoride, excluding varnish <1% 1,133 $121.30
D0272 Bitewings - two radiographic images <1% 328 $66.56
D0270 0% 12 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 1,167 $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 officialFUELLER, CINDA (OFFICE MGR)