Lab
Rogue River Denture Service
Rogue River Denture Service was paid $26K by Medicaid between Sep 2020 and Mar 2021, across 3 billing codes. Its largest line is D5110, — 50% of everything it billed.
33Billing provider infoROGUE RIVER DENTURE SERVICE
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
33aNPI1154873271assigned 10/25/2016
33bProvider typeDental Laboratory
28Total paid$26K
24GClaims55
24DCodes billed3
24AFirst – last monthSep 2020 – Mar 2021
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 | |
|---|---|---|---|
| 2020 | 14 | $6K | |
| 2021 | 41 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D5110 | 50% | 28 | 26 | $13K | |
| D5120 | 25% | 13 | 13 | $6K | |
| D5211 | 24% | 14 | 14 | $6K |
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 officialSHEELER, MITCHELL (DENTURIST)