Dental
Sandy Dental PC
Sandy Dental PC was paid $147K by Medicaid between Jan 2018 and Feb 2019, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoSANDY DENTAL PC
PORTLAND, OR 97213
PORTLAND, OR 97213
33aNPI1023151727assigned 02/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$147K
24GClaims5,595
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#57 of 311
Median peer was paid$6K
This provider vs. median23×
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 | 5,204 | $138K | |
| 2019 | 391 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 906 | 897 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 998 | 988 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 1,065 | 1,029 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 324 | 321 | $11K |
| D0274 | Bitewings - four radiographic images | 6.3% | 378 | 374 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 6.0% | 190 | 190 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 174 | 174 | $7K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 204 | 198 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 113 | 76 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 860 | 675 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.1% | 45 | 30 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 98 | 71 | $4K |
2 more codes
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 officialTRAN, KHIET (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Khiet M Tran DDS, INC. | San Jose, CA | $1.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.