Clinic
Portland Dental Smiles
Portland Dental Smiles was paid $747.00 by Medicaid between Apr 2024 and Apr 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoPORTLAND DENTAL SMILES
PORTLAND, OR 97205
PORTLAND, OR 97205
33aNPI1063065068assigned 07/18/2019
33bProvider typeDental Clinic/Center
28Total paid$747.00
24GClaims108
24DCodes billed7
24AFirst – last monthApr 2024 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oregon
Rank by total paid#32 of 39
Median peer was paid$86K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 108 | $747.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 16 | 16 | $235.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 13 | 13 | $190.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 18 | 18 | $112.00 |
| D0274 | Bitewings - four radiographic images | 12% | 13 | 13 | $87.00 |
| D1206 | Topical application of fluoride varnish | 7.6% | 13 | 13 | $57.00 |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 20 | 20 | $39.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 15 | 14 | $27.00 |
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 officialDEWOLF, CAMILLE (OFFICE MANAGER)