BEAVERTON SANDY DENTAL CLINIC PC
NPI: 1528574829
· BEAVERTON, OR 97005
· 1223G0001X
$387K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,602 |
$145K |
| 2019 |
3,147 |
$90K |
| 2020 |
2,498 |
$59K |
| 2021 |
3,322 |
$88K |
| 2022 |
33 |
$919.00 |
| 2024 |
153 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,733 |
2,704 |
$125K |
| D0120 |
|
3,324 |
3,298 |
$90K |
| D0274 |
|
1,667 |
1,649 |
$41K |
| D0220 |
|
1,989 |
1,934 |
$24K |
| D1120 |
|
534 |
530 |
$21K |
| D1208 |
|
911 |
907 |
$17K |
| D0140 |
|
460 |
448 |
$15K |
| D2150 |
|
255 |
125 |
$14K |
| D0230 |
|
1,465 |
1,052 |
$11K |
| D0150 |
|
290 |
277 |
$10K |
| D2140 |
|
129 |
66 |
$5K |
| D1206 |
|
282 |
278 |
$5K |
| D0210 |
|
81 |
79 |
$4K |
| D1999 |
|
467 |
378 |
$2K |
| D2391 |
|
29 |
12 |
$1K |
| D0272 |
|
38 |
38 |
$590.60 |
| D0270 |
|
14 |
14 |
$148.00 |
| D0602 |
|
20 |
14 |
$100.00 |
| D1330 |
|
49 |
45 |
$10.00 |
| D1310 |
|
18 |
14 |
$0.00 |