Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dental Vision PC

Dental Vision PC was paid $273.40 by Medicaid between Jan 2018 and Jul 2019, across 29 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 75% of everything it billed.

33Billing provider infoDENTAL VISION PC
GRANTS PASS, OR 97526
33aNPI1376581587assigned 06/02/2006
33bProvider typeDentist
28Total paid$273.40
24GClaims15,116
24DCodes billed29
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#207 of 233
Median peer was paid$19K
This provider vs. median0.0×

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

$0$50$100$1502018201920202021202220232024
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
YearClaimsPaid
201810,077$273.40
20195,039$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 75% 1,048 1,001 $204.99
D0220 Intraoral - periapical first radiographic image 19% 1,902 1,818 $50.96
D0270 6.4% 621 595 $17.45
D0330 Panoramic radiographic image 0% 1,073 1,047 $0.00
D1110 Prophylaxis - adult 0% 359 346 $0.00
D1120 Dental cleaning, childProphylaxis - child 0% 267 254 $0.00
D1354 0% 1,496 560 $0.00
D0191 0% 197 189 $0.00
D0274 Bitewings - four radiographic images 0% 728 711 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 0% 41 27 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 18 16 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 0% 20 15 $0.00
17 more codes
D4910 0% 13 $0.00
D0120 Dental checkup, returning patient 0% 378 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 510 $0.00
D1351 Sealant - per tooth 0% 281 $0.00
D1330 0% 864 $0.00
D0170 0% 164 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 2,770 $0.00
D1208 Topical application of fluoride, excluding varnish 0% 712 $0.00
D0601 0% 362 $0.00
D0603 0% 551 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 379 $0.00
D0602 0% 200 $0.00
D2331 0% 20 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 66 $0.00
D4355 0% 15 $0.00
D0272 Bitewings - two radiographic images 0% 41 $0.00
D1206 Topical application of fluoride varnish 0% 20 $0.00

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.

From NPPES

Who's on the registration

Authorized officialSHISHKIN, IGOR (DOCTOR/PRESIDENT)