Clinic
Portland Dental Associates PC
Portland Dental Associates PC was paid $387K by Medicaid between Jan 2018 and Dec 2021, across 24 billing codes. Its largest line is D4341, — 16% of everything it billed.
33Billing provider infoPORTLAND DENTAL ASSOCIATES PC
PORTLAND, OR 97230
PORTLAND, OR 97230
33aNPI1518090323assigned 03/13/2007
33bProvider typeDental Clinic/Center
28Total paid$387K
24GClaims13,961
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Oregon
Rank by total paid#14 of 39
Median peer was paid$86K
This provider vs. median4.5×
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 | 6,414 | $349K | |
| 2019 | 4,078 | $28K | |
| 2020 | 2,230 | $9K | |
| 2021 | 1,239 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 16% | 347 | 205 | $61K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 338 | 262 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 1,853 | 1,828 | $31K |
| D0274 | Bitewings - four radiographic images | 7.5% | 974 | 970 | $29K |
| D1110 | Prophylaxis - adult | 7.5% | 813 | 787 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 925 | 921 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 759 | 756 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 779 | 777 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 1,933 | 1,891 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.4% | 78 | 65 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 272 | 119 | $21K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 583 | 575 | $17K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 1,881 | $16K |
| D4910 | 1.9% | 49 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 116 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 21 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 107 | $3K |
| D4355 | <1% | 12 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 19 | $2K |
| D0240 | <1% | 26 | $940.94 | |
| D1330 | <1% | 1,479 | $361.00 | |
| D1354 | <1% | 61 | $56.00 | |
| D1310 | 0% | 282 | $0.00 | |
| D9986 | 0% | 254 | $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 officialBOLOURI, FARID (DENTAL DIRECTOR DENTIST)