Eden, Stacy

Eden, Stacy was paid $103K by Medicaid between Aug 2021 and Sep 2023, across 7 billing codes. Its largest line is D9410, — 78% of everything it billed.

33Billing provider infoEDEN, STACY
TIGARD, OR 97224

33aNPI1114248085assigned 06/15/2010

33bProvider typeDentist

28Total paid$103K

24GClaims1,075

24DCodes billed7

24AFirst – last monthAug 2021 – Sep 2023

Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#70 of 233

Median peer was paid$19K

This provider vs. median5.6×

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
2021	38	$6K
2022	667	$62K
2023	370	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9410		78%	699	632	$80K
D9920		18%	242	227	$18K
D1206	Topical application of fluoride varnish	1.9%	73	73	$2K
D1110	Prophylaxis - adult	<1%	13	13	$867.68
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$671.00
D0220	Intraoral - periapical first radiographic image	<1%	24	24	$576.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	12	12	$514.65

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.