BOYDSTON, ANGELA
NPI: 1265696629
· PORTLAND, OR 97232
· Pediatric Dentist
· NPI assigned 07/15/2008
$154K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
641 |
$25K |
| 2022 |
1,695 |
$63K |
| 2023 |
1,726 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,102 |
1,095 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
1,146 |
1,141 |
$47K |
| D1206 |
Topical application of fluoride varnish |
936 |
930 |
$26K |
| D1351 |
Sealant - per tooth |
82 |
24 |
$4K |
| D0603 |
|
429 |
426 |
$4K |
| D0272 |
Bitewings - two radiographic images |
114 |
112 |
$3K |
| D1330 |
|
104 |
104 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$923.00 |
| D9997 |
|
60 |
60 |
$720.00 |
| D0601 |
|
64 |
64 |
$697.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$672.00 |