OREGON MOBILE DENTISTRY, P.C.
NPI: 1093138893
· TIGARD, OR 97224
· 122300000X
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
370 |
$37K |
| 2019 |
219 |
$14K |
| 2020 |
100 |
$10K |
| 2021 |
470 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
962 |
806 |
$100K |
| D9920 |
|
61 |
54 |
$5K |
| D1110 |
|
26 |
26 |
$2K |
| D1206 |
|
45 |
45 |
$1K |
| D0120 |
|
28 |
27 |
$766.45 |
| D0220 |
|
37 |
37 |
$555.04 |