Managed care
Exceptional Needs Dental Services (Ends)
Exceptional Needs Dental Services (Ends) was paid $115K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D9410, — 60% of everything it billed.
33Billing provider infoEXCEPTIONAL NEEDS DENTAL SERVICES (ENDS)
PORTLAND, OR 97220
PORTLAND, OR 97220
33aNPI1073676037assigned 12/19/2006
33bProvider typeHealth Maintenance Organization
28Total paid$115K
24GClaims41,460
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
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 | 5,486 | $108K | |
| 2019 | 6,161 | $3K | |
| 2020 | 3,796 | $900.00 | |
| 2021 | 4,976 | $2K | |
| 2022 | 6,080 | $3K | |
| 2023 | 6,853 | $0.00 | |
| 2024incomplete | 8,108 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9410 | 60% | 22,567 | 19,399 | $70K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 6,688 | 6,370 | $12K |
| D9420 | 7.0% | 127 | 121 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 694 | 140 | $8K |
| D1110 | Prophylaxis - adult | 5.0% | 3,813 | 3,541 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 3,059 | 2,920 | $4K |
| D9310 | 2.8% | 684 | 634 | $3K | |
| D4341 | 2.1% | 58 | 13 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 366 | 340 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 1,758 | 1,627 | $455.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 619 | 594 | $318.00 |
| D0191 | 0% | 685 | 622 | $0.00 |
6 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 officialAYRES, TONIA (ADMINISTRATOR)