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

Sandy Dental PDX

Sandy Dental PDX was paid $216K by Medicaid between Feb 2019 and Dec 2021, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoSANDY DENTAL PDX
PORTLAND, OR 97213
33aNPI1053886580assigned 10/11/2018
33bProvider typeDentist
28Total paid$216K
24GClaims9,354
24DCodes billed18
24AFirst – last monthFeb 2019 – Dec 2021
Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#48 of 233
Median peer was paid$19K
This provider vs. median12×

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
20193,288$85K
20203,079$59K
20212,987$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 30% 1,403 1,401 $65K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 24% 1,839 1,834 $51K
D0220 Intraoral - periapical first radiographic image 10.0% 1,672 1,605 $22K
D0274 Bitewings - four radiographic images 8.0% 612 610 $17K
D0230 Intraoral - periapical each additional radiographic image 5.1% 1,227 1,025 $11K
D1208 Topical application of fluoride, excluding varnish 5.0% 571 567 $11K
D0140 Limited oral evaluation - problem focused 3.9% 243 230 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.9% 114 57 $6K
D1206 Topical application of fluoride varnish 2.2% 249 247 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.8% 54 24 $4K
D0210 Intraoral - complete series of radiographic images 1.6% 61 60 $3K
D1999 1.6% 765 606 $3K
6 more codes
D0150 Comprehensive oral evaluation - new or established patient 1.5% 87 $3K
D1120 Dental cleaning, child 1.1% 59 $2K
D0602 1.0% 214 $2K
D0603 <1% 144 $2K
D0601 <1% 14 $154.00
D1330 0% 26 $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 officialBUI, PHONG (PRESIDENT)
Same official

Other billing entities under BUI, PHONG

Full network →
ProviderLocationPaid
Phong H Bui INCFountain Valley, CA$1.64M
Francois Phong Bui MD INCWestminster, CA$133K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.