CEDAR HILLS DENTISTRY FOR KIDS LLC
NPI: 1437417235
· PORTLAND, OR 97225
· Pediatric Dentist
· NPI assigned 04/30/2012
Provider Details
| Authorized Official | PHAM, HAI (PRESIDENT) |
| NPI Enumeration Date | 04/30/2012 |
Related Entities
Other providers sharing the same authorized official: PHAM, HAI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
113 |
$5K |
| 2020 |
263 |
$29K |
| 2022 |
65 |
$2K |
| 2023 |
648 |
$54K |
| 2024 |
118 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
162 |
30 |
$42K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
221 |
176 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
443 |
115 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
45 |
12 |
$8K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
30 |
12 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
158 |
145 |
$4K |
| D9420 |
|
14 |
14 |
$3K |
| D0272 |
Bitewings - two radiographic images |
77 |
75 |
$3K |
| D1120 |
Prophylaxis - child |
29 |
28 |
$2K |
| D1206 |
Topical application of fluoride varnish |
28 |
27 |
$952.75 |