Raphael, David

Raphael, David was paid $158K by Medicaid between Jan 2018 and Sep 2021, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoRAPHAEL, DAVID
PORTLAND, OR 97210

33aNPI1104142900assigned 04/19/2010

33bProvider typePediatric Dentist

28Total paid$158K

24GClaims7,461

24DCodes billed17

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#70 of 109

Median peer was paid$362K

This provider vs. median0.4×

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
2018	2,695	$59K
2019	2,466	$57K
2020	1,334	$23K
2021	966	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	1,609	1,597	$59K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	1,196	1,193	$31K
D1206	Topical application of fluoride varnish	15%	1,430	1,414	$24K
D0150	Comprehensive oral evaluation - new or established patient	6.0%	274	269	$9K
D0272	Bitewings - two radiographic images	5.2%	498	490	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.6%	165	153	$4K
D1208	Topical application of fluoride, excluding varnish	2.3%	197	197	$4K
D0140	Limited oral evaluation - problem focused	2.1%	102	101	$3K
D7140	Extraction, erupted tooth or exposed root	1.8%	36	14	$3K
D1330		1.8%	1,098	1,096	$3K
D0240		1.7%	198	102	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	23	13	$2K

5 more codes

D1351	Sealant - per tooth	<1%	44	$2K
D0603		<1%	125	$1K
D1354		<1%	133	$1K
D1999		<1%	273	$772.58
D0220	Intraoral - periapical first radiographic image	<1%	60	$685.00

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.