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    OpenPayerNPI Medicare & MedicaidCommunity Council Of Idaho Inc
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    Community Council Of Idaho Inc — Billing Profile & Reimbursement Data

    NPI 1164101754 · Idaho Falls, ID · Dentist

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    Community Council Of Idaho Inc is a dentist provider located in Idaho Falls, Idaho. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Council Of Idaho Inc
    Address3387 Merlin Dr
    CityIdaho Falls
    StateID
    ZIP83404
    TaxonomyDentist
    NPI EnumeratedJuly 12, 2023

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$550.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0999N/A1,850$300$550.3K
    D0120Periodic oral evaluation - established patient60$0$0
    D0140Limited oral evaluation – problem focused100$0$0
    D0150Comprehensive oral evaluation – new or established patient610$0$0
    D0210Intraoral - complete series of radiographic images540$0$0
    D0220Intraoral - periapical first radiographic image70$0$0
    D0330N/A20$0$0
    D1110Prophylaxis - adult; cleaning and polishing of the teeth230$0$0
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients10$0$0
    D1330N/A70$0$0

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A24303,960$250$1.5M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth182320310$80$80.8K
    D2392Post 2 surface resin‑based composite102190280$60$72.9K
    D0210Intraoral - complete series of radiographic images32120140$120$66K
    D2393Resin-based composite, three surfaces, posterior6070140$120$41.6K
    D0330N/A140170170$50$35.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)54110300$30$32.4K
    D2391Resin‑based composite – one surface, posterior135140270$40$27.9K
    D0150Comprehensive oral evaluation – new or established patient66220220$30$21.2K
    D0140Limited oral evaluation – problem focused129200190$20$10.7K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Council Of Idaho Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Council Of Idaho, IncIDFederally Qualified Health Center (FQHC)$0$3M
    Community Family Clinic PLLCKYRural Health Clinic/Center$0$2.8M
    Gene HodgesIDAdult Medicine Physician$81.4K$0
    Nasimul GhaniNENephrology Physician$76.2K$0
    Craig SteinerIDFamily Medicine Physician$72K$0

    Nearby Providers

    Other providers in the same ZIP code as Community Council Of Idaho Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Eastern Idaho Health Services IncIDGeneral Acute Care Hospital$0$12.1M
    Rm Lab LLCIDClinical Medical Laboratory$1.1M$8.2M
    Medical Center For Children & Adolescents, PAIDPediatrics Physician$0$8.8M
    Aaa American Healthcare LLCIDMental Health Counselor$0$8.7M
    Intermountain Emergency PhysiciansIDEmergency Medicine Physician$0$6.6M
    24-7 Professional SolutionsIDIn Home Supportive Care Agency$0$5.9M
    Just 4 Kids Health LLCIDUrgent Care Clinic/Center$0$5.2M
    Foothills Rehabilitation & Performance Services, PLLCIDPhysical Therapist$0$5M
    Innovative Health Care Concepts, IncIDDevelopmental Disabilities Clinic/Center$0$4.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Community Council Of Idaho Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho