Dental
Park, Douglas
Park, Douglas was paid $951K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoPARK, DOUGLAS
GRESHAM, OR 97030
GRESHAM, OR 97030
33aNPI1366521122assigned 11/03/2006
33bProvider typePediatric Dentist
28Total paid$951K
24GClaims31,072
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#26 of 109
Median peer was paid$362K
This provider vs. median2.6×
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 | 5,062 | $152K | |
| 2019 | 5,089 | $160K | |
| 2020 | 3,525 | $93K | |
| 2021 | 4,196 | $124K | |
| 2022 | 4,700 | $154K | |
| 2023 | 4,330 | $139K | |
| 2024incomplete | 4,170 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 3,362 | 1,295 | $186K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 5,752 | 5,744 | $159K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 3,837 | 3,834 | $151K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 5,684 | 5,676 | $106K |
| D1110 | Prophylaxis - adult | 9.3% | 1,915 | 1,910 | $89K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.0% | 1,357 | 640 | $86K |
| D0272 | Bitewings - two radiographic images | 3.1% | 1,559 | 1,557 | $30K |
| D0274 | Bitewings - four radiographic images | 3.1% | 1,059 | 1,058 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,956 | 1,923 | $25K |
| D1351 | Sealant - per tooth | 2.5% | 734 | 337 | $24K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 641 | 560 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 1,740 | 1,531 | $15K |
9 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 125 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 213 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 221 | $8K |
| D0603 | <1% | 350 | $4K | |
| D1999 | <1% | 313 | $2K | |
| D0240 | <1% | 129 | $2K | |
| D9920 | <1% | 27 | $1K | |
| D1330 | <1% | 80 | $720.00 | |
| D1320 | <1% | 18 | $170.00 |
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.