Dental
Shoreview Dental, LLS
Shoreview Dental, LLS was paid $36K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 54% of everything it billed.
33Billing provider infoSHOREVIEW DENTAL, LLS
KEIZER, OR 97303
KEIZER, OR 97303
33aNPI1003196536assigned 08/29/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$36K
24GClaims71,278
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#96 of 311
Median peer was paid$6K
This provider vs. median5.6×
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 | 6,316 | $24K | |
| 2019 | 13,258 | $7K | |
| 2020 | 10,452 | $5K | |
| 2021 | 9,609 | $0.00 | |
| 2022 | 7,633 | $0.00 | |
| 2023 | 9,080 | $0.00 | |
| 2024incomplete | 14,930 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 54% | 178 | 85 | $20K |
| D9310 | 29% | 134 | 122 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.7% | 52 | 42 | $3K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 3,915 | 3,645 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,616 | 4,309 | $9.50 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,217 | 585 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 3,700 | 3,500 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 2,269 | 2,105 | $0.00 |
| D1310 | 0% | 8,058 | 7,431 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 2,441 | 2,290 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 557 | 398 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 163 | 151 | $0.00 |
19 more codes
| D1206 | Topical application of fluoride varnish | 0% | 5,098 | $0.00 |
| D0603 | 0% | 3,427 | $0.00 | |
| D1330 | 0% | 9,685 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,467 | $0.00 |
| D4355 | 0% | 76 | $0.00 | |
| D0602 | 0% | 821 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 316 | $0.00 |
| D0601 | 0% | 516 | $0.00 | |
| D3120 | 0% | 39 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 108 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,727 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 956 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 2,118 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 2,952 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 323 | $0.00 |
| D0270 | 0% | 865 | $0.00 | |
| D1354 | 0% | 12,082 | $0.00 | |
| D2940 | 0% | 158 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 244 | $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 officialDUFFIN, STEVEN (OWNER/DENTIST)