Dental
Northwest Dental Associates, PC
Northwest Dental Associates, PC was paid $705K by Medicaid between Jan 2018 and Aug 2021, across 24 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 11% of everything it billed.
33Billing provider infoNORTHWEST DENTAL ASSOCIATES, PC
BEAVERTON, OR 97005
BEAVERTON, OR 97005
33aNPI1104902667assigned 10/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$705K
24GClaims23,337
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#13 of 311
Median peer was paid$6K
This provider vs. median110×
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 | 9,047 | $266K | |
| 2019 | 9,852 | $320K | |
| 2020 | 3,839 | $107K | |
| 2021 | 599 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 11% | 4,363 | 4,312 | $79K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 723 | 301 | $76K |
| D4910 | 9.8% | 1,061 | 1,051 | $69K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 2,369 | 2,344 | $64K |
| D1110 | Prophylaxis - adult | 8.4% | 1,333 | 1,315 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,448 | 1,433 | $53K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 1,315 | 1,283 | $44K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 892 | 883 | $40K |
| D4341 | 5.1% | 422 | 201 | $36K | |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 2,578 | 2,507 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 389 | 229 | $27K |
| D0274 | Bitewings - four radiographic images | 3.6% | 998 | 982 | $25K |
12 more codes
| D4342 | 3.4% | 368 | $24K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 330 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 1,791 | $14K |
| D1120 | Dental cleaning, child | 1.8% | 347 | $13K |
| D0603 | 1.2% | 907 | $8K | |
| D9630 | 1.1% | 419 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 97 | $5K |
| D0602 | <1% | 383 | $3K | |
| D1999 | <1% | 556 | $3K | |
| D0270 | <1% | 212 | $2K | |
| D2331 | <1% | 21 | $1K | |
| D2140 | <1% | 15 | $676.00 |
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 officialMONTENEGRO, ARACELLY (SENIOR MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Modern Dental Professionals Co PC | Aurora, CO | $125K |
| Sahawneh Dental Corporation | Brea, CA | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.