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

Salem Heights Dental, LLC

Salem Heights Dental, LLC was paid $607K by Medicaid between May 2018 and Oct 2024, across 24 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 11% of everything it billed.

33Billing provider infoSALEM HEIGHTS DENTAL, LLC
SALEM, OR 97302
33aNPI1467669853assigned 05/17/2007
33bProvider typeDentist
28Total paid$607K
24GClaims21,082
24DCodes billed24
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#17 of 233
Median peer was paid$19K
This provider vs. median33×

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$10K$20K$30K2018201920202021202220232024
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
201812$122.50
201927$200.00
20204,928$159K
20215,294$147K
20223,713$95K
20233,703$101K
2024incomplete3,405$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2150 Silver amalgam - two surfaces, primary or permanent 11% 1,189 747 $67K
D1110 Prophylaxis - adult 10% 1,390 1,367 $63K
D2140 10% 1,357 781 $63K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.9% 2,352 2,292 $60K
D4910 8.8% 919 884 $53K
D0140 Limited oral evaluation - problem focused 7.1% 1,355 1,256 $43K
D4341 6.8% 527 274 $41K
D0274 Bitewings - four radiographic images 6.2% 1,986 1,937 $38K
D0220 Intraoral - periapical first radiographic image 5.5% 3,234 3,067 $33K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 919 909 $32K
D1208 Topical application of fluoride, excluding varnish 4.2% 1,534 1,508 $25K
D0210 Intraoral - complete series of radiographic images 4.1% 539 532 $25K
12 more codes
D0230 Intraoral - periapical each additional radiographic image 2.9% 2,921 $18K
D1120 Dental cleaning, child 2.9% 465 $18K
D4342 <1% 104 $6K
D2160 <1% 82 $6K
D2335 <1% 34 $3K
D7140 Extraction, erupted tooth or exposed root <1% 41 $3K
D2331 <1% 33 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 19 $2K
D2330 <1% 31 $2K
D2931 <1% 17 $2K
D2332 <1% 18 $1K
D2950 <1% 16 $912.00

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 officialLI, BIAO (DENTIST)