Dental
Beaverton Sandy Dental Clinic PC
Beaverton Sandy Dental Clinic PC was paid $387K by Medicaid between Jan 2018 and Aug 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoBEAVERTON SANDY DENTAL CLINIC PC
BEAVERTON, OR 97005
BEAVERTON, OR 97005
33aNPI1528574829assigned 12/21/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$387K
24GClaims14,755
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#26 of 311
Median peer was paid$6K
This provider vs. median60×
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 | 5,602 | $145K | |
| 2019 | 3,147 | $90K | |
| 2020 | 2,498 | $59K | |
| 2021 | 3,322 | $88K | |
| 2022 | 33 | $919.00 | |
| 2024incomplete | 153 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 2,733 | 2,704 | $125K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 3,324 | 3,298 | $90K |
| D0274 | Bitewings - four radiographic images | 11% | 1,667 | 1,649 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 1,989 | 1,934 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 534 | 530 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 911 | 907 | $17K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 460 | 448 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.7% | 255 | 125 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 1,465 | 1,052 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 290 | 277 | $10K |
| D2140 | 1.4% | 129 | 66 | $5K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 282 | 278 | $5K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 81 | $4K |
| D1999 | <1% | 467 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 29 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 38 | $590.60 |
| D0270 | <1% | 14 | $148.00 | |
| D0602 | <1% | 20 | $100.00 | |
| D1330 | <1% | 49 | $10.00 | |
| D1310 | 0% | 18 | $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 officialDANG, MY (DIRECTOR)