Dental
Building Blocks Pediatric Dentistry, PC
Building Blocks Pediatric Dentistry, PC was paid $76K by Medicaid between Jan 2024 and Nov 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoBUILDING BLOCKS PEDIATRIC DENTISTRY, PC
SALEM, OR 97302
SALEM, OR 97302
33aNPI1235904186assigned 11/21/2023
33bProvider typePediatric Dentist
28Total paid$76K
24GClaims2,596
24DCodes billed16
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#82 of 109
Median peer was paid$362K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 2,596 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 471 | 467 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 488 | 484 | $18K |
| D1206 | Topical application of fluoride varnish | 16% | 506 | 501 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 122 | 46 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 168 | 141 | $4K |
| D0272 | Bitewings - two radiographic images | 5.5% | 173 | 167 | $4K |
| D0330 | Panoramic radiographic image | 4.3% | 50 | 50 | $3K |
| D0603 | 1.7% | 282 | 270 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 19 | 13 | $1K |
| D1110 | Prophylaxis - adult | 1.6% | 25 | 24 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 62 | 54 | $966.36 |
| D0274 | Bitewings - four radiographic images | 1.1% | 25 | 25 | $817.28 |
4 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 officialRAY, TRICIA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Tricia a Ray DMD PC | Salem, OR | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.