Dental
Acorn Dentistry for Kids - West Salem, LLC
Acorn Dentistry for Kids - West Salem, LLC was paid $1.61M by Medicaid between Jun 2020 and Nov 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoACORN DENTISTRY FOR KIDS - WEST SALEM, LLC
SALEM, OR 97304
SALEM, OR 97304
33aNPI1043869191assigned 09/10/2019
33bProvider typePediatric Dentist
28Total paid$1.61M
24GClaims62,801
24DCodes billed31
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#14 of 109
Median peer was paid$362K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 2,911 | $36K | |
| 2021 | 7,046 | $107K | |
| 2022 | 12,938 | $257K | |
| 2023 | 22,917 | $650K | |
| 2024incomplete | 16,989 | $555K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 2,638 | 629 | $347K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 7,361 | 7,102 | $262K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 4,564 | 4,411 | $119K |
| D1206 | Topical application of fluoride varnish | 7.4% | 7,689 | 7,417 | $118K |
| D0603 | 6.7% | 6,579 | 6,361 | $107K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 1,336 | 616 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 2,123 | 2,030 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 694 | 298 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 5,506 | 1,363 | $54K |
| D0272 | Bitewings - two radiographic images | 2.6% | 2,815 | 2,674 | $42K |
| D1351 | Sealant - per tooth | 2.5% | 1,795 | 498 | $40K |
| D0145 | Oral evaluation for a patient under three years of age | 2.4% | 1,170 | 1,151 | $38K |
19 more codes
| D0330 | Panoramic radiographic image | 2.0% | 829 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 1,366 | $28K |
| D1110 | Prophylaxis - adult | 1.7% | 774 | $27K |
| D0240 | 1.7% | 1,868 | $27K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 2,084 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 122 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 402 | $15K |
| D1354 | <1% | 700 | $14K | |
| D0602 | <1% | 800 | $13K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 245 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 533 | $11K |
| D9310 | <1% | 131 | $8K | |
| D0601 | <1% | 171 | $3K | |
| D1330 | <1% | 3,930 | $0.10 | |
| D1310 | 0% | 3,916 | $0.00 | |
| D3120 | 0% | 134 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 16 | $0.00 |
| D1320 | 0% | 23 | $0.00 | |
| D1999 | 0% | 487 | $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 officialRICHARDSON, TIMOTHY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Acorn Dentistry for Kids - Keizer, LLC | Keizer, OR | $7.81M |
| Eugene Kids' Dentist, LLC | Eugene, OR | $4.23M |
| Acorn Dentistry for Kids - Silverton, LLC | Silverton, OR | $2.71M |
| Acorn Dentistry for Kids - Corvallis, LLC | Corvallis, OR | $2.25M |
| Acorn Dentistry for Kids - Hillsboro, LLC | Hillsboro, OR | $1.34M |
| Acorn Dentistry for Kids - East Salem, LLC | Salem, OR | $839K |
| Medical Care Transportation Group LLC | Port Allen, LA | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.