Cascade Family Dentistry PLLC

Cascade Family Dentistry PLLC was paid $122K by Medicaid between Jan 2018 and Jul 2020, across 15 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 23% of everything it billed.

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	1,305	$42K
2019	1,548	$57K
2020	969	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	23%	835	765	$27K
D1110	Prophylaxis - adult	19%	470	458	$23K
D0150	Comprehensive oral evaluation - new or established patient	12%	425	421	$14K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.4%	160	76	$10K
D0220	Intraoral - periapical first radiographic image	8.0%	591	561	$10K
D0210	Intraoral - complete series of radiographic images	6.5%	121	119	$8K
D4910		5.0%	94	94	$6K
D0274	Bitewings - four radiographic images	4.5%	160	157	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.7%	193	189	$4K
D1206	Topical application of fluoride varnish	3.4%	199	197	$4K
D7140	Extraction, erupted tooth or exposed root	3.2%	55	13	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.3%	21	12	$3K

3 more codes

D0350		1.5%	214	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	13	$178.92
D9986		0%	271	$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 officialHOLLEY, LEIGHTON (MANAGER)