Dental
Tigard Family Dental, PC
Tigard Family Dental, PC was paid $163K by Medicaid between Jan 2018 and Dec 2021, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoTIGARD FAMILY DENTAL, PC
TIGARD, OR 97224
TIGARD, OR 97224
33aNPI1205135118assigned 03/17/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$163K
24GClaims6,975
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#51 of 311
Median peer was paid$6K
This provider vs. median25×
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 | 1,232 | $20K | |
| 2019 | 1,187 | $28K | |
| 2020 | 2,081 | $44K | |
| 2021 | 2,475 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 656 | 642 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 924 | 904 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 323 | 186 | $21K |
| D0274 | Bitewings - four radiographic images | 11% | 678 | 662 | $17K |
| D1206 | Topical application of fluoride varnish | 8.8% | 842 | 823 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 1,068 | 1,004 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 177 | 106 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 259 | 254 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 1,115 | 732 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 208 | 206 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 44 | 28 | $3K |
| D4910 | 1.5% | 56 | 54 | $2K |
7 more codes
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 officialMARTINEZ, REBECCA (OFFICE MANAGER)