Clinic
Acorn Dentistry for Kids - Keizer, LLC
Acorn Dentistry for Kids - Keizer, LLC was paid $7.81M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoACORN DENTISTRY FOR KIDS - KEIZER, LLC
KEIZER, OR 97303
KEIZER, OR 97303
33aNPI1134661606assigned 11/15/2016
33bProvider typeDental Clinic/Center
28Total paid$7.81M
24GClaims308,563
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oregon
Rank by total paid#1 of 39
Median peer was paid$86K
This provider vs. median91×
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 | 23,358 | $749K | |
| 2019 | 35,299 | $871K | |
| 2020 | 47,096 | $1.06M | |
| 2021 | 72,067 | $1.75M | |
| 2022 | 51,635 | $1.15M | |
| 2023 | 48,063 | $1.29M | |
| 2024incomplete | 31,045 | $934K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 16,926 | 4,203 | $2.07M |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 34,300 | 33,394 | $1.26M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 23,760 | 23,220 | $642K |
| D1206 | Topical application of fluoride varnish | 7.0% | 33,389 | 32,500 | $545K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 5,089 | 2,710 | $353K |
| D0603 | 4.3% | 26,221 | 25,547 | $335K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 3,714 | 1,735 | $329K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 27,844 | 7,151 | $279K |
| D1351 | Sealant - per tooth | 3.3% | 11,057 | 3,469 | $255K |
| D0272 | Bitewings - two radiographic images | 3.0% | 14,147 | 13,732 | $237K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 5,730 | 5,501 | $221K |
| D0240 | 1.9% | 9,676 | 5,433 | $150K |
27 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 2,660 | $141K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 6,434 | $140K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 11,279 | $140K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 4,247 | $126K |
| D1354 | 1.4% | 5,653 | $111K | |
| D0330 | Panoramic radiographic image | 1.3% | 2,710 | $101K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,616 | $96K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.0% | 967 | $80K |
| D1510 | <1% | 350 | $51K | |
| D9310 | <1% | 482 | $41K | |
| D0602 | <1% | 2,171 | $22K | |
| D2933 | <1% | 117 | $18K | |
| D0601 | <1% | 1,653 | $16K | |
| D9248 | <1% | 120 | $15K | |
| D2330 | <1% | 107 | $6K | |
| D2332 | <1% | 30 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 126 | $3K |
| D2331 | <1% | 30 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 53 | $3K |
| D1999 | <1% | 2,767 | $3K | |
| D9920 | <1% | 44 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 59 | $1K |
| D1320 | <1% | 282 | $886.20 | |
| D0170 | <1% | 13 | $360.48 | |
| D1330 | <1% | 25,905 | $30.46 | |
| D1310 | <1% | 25,792 | $20.01 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 43 | $0.00 |
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 officialRICHARDSON, TIMOTHY (OWNER)
Parent organizationACORN DENTISTRY FOR KIDS - KEIZER, LLC
| Provider | Location | Paid |
|---|---|---|
| Eugene Kids' Dentist, LLC | Eugene, OR | $4.23M |
| Acorn Dentistry for Kids - Silverton, LLC | Silverton, OR | $2.71M |
| Acorn Dentistry for Kids - Corvallis, LLC | Corvallis, OR | $2.25M |
| Acorn Dentistry for Kids - West Salem, LLC | Salem, OR | $1.61M |
| Acorn Dentistry for Kids - Hillsboro, LLC | Hillsboro, OR | $1.34M |
| Acorn Dentistry for Kids - East Salem, LLC | Salem, OR | $839K |
| Medical Care Transportation Group LLC | Port Allen, LA | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.