Dental
John F Lake DDS & Deborah Starr
John F Lake DDS & Deborah Starr was paid $23K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoJOHN F LAKE DDS & DEBORAH STARR
ONTARIO, OR 97914
ONTARIO, OR 97914
33aNPI1487862009assigned 05/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims819
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#113 of 311
Median peer was paid$6K
This provider vs. median3.6×
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 | 644 | $18K | |
| 2019 | 175 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 199 | 199 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 277 | 277 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 284 | 284 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 33 | 24 | $2K |
| D1110 | Prophylaxis - adult | 5.2% | 26 | 26 | $1K |
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 officialLAKE, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Newberry Dental, PC | Newberry, SC | $58K |
| Mid-Carolina Dental Care, INC | Prosperity, SC | $194.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.