Clinic
Shasta Family Dental
Shasta Family Dental was paid $968.16 by Medicaid between Jul 2018 and Oct 2020, across 9 billing codes. Its largest line is D9630, — 94% of everything it billed.
33Billing provider infoSHASTA FAMILY DENTAL
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
33aNPI1427574136assigned 08/15/2017
33bProvider typeDental Clinic/Center
28Total paid$968.16
24GClaims1,424
24DCodes billed9
24AFirst – last monthJul 2018 – Oct 2020
Compared with peers
Next to other Dental Clinic/Center providers in Oregon
Rank by total paid#31 of 39
Median peer was paid$86K
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
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 | 357 | $527.16 | |
| 2019 | 692 | $441.00 | |
| 2020 | 375 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9630 | 94% | 30 | 26 | $913.50 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 466 | 459 | $54.66 |
| D0274 | Bitewings - four radiographic images | 0% | 128 | 127 | $0.00 |
| D9986 | 0% | 88 | 85 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 216 | 213 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 90 | 86 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 237 | 230 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 30 | 30 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 139 | 138 | $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 officialBROWN, MINDY (PRESIDENT)