The Friends of Creston Children's Dental Clinic

The Friends of Creston Children's Dental Clinic was paid $1K by Medicaid between Jan 2018 and Jun 2018, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 38% of everything it billed.

33Billing provider infoTHE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC
PORTLAND, OR 97206

33aNPI1568785848assigned 03/01/2010

33bProvider typeVoluntary or Charitable Agency

28Total paid$1K

24GClaims267

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Voluntary or Charitable Agency providers in Oregon

Rank by total paid#6 of 6

Median peer was paid$43K

This provider vs. median0.0×

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	267	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	38%	102	69	$574.23
D1120	Dental cleaning, childProphylaxis - child	29%	41	28	$430.18
D0150	Comprehensive oral evaluation - new or established patient	18%	18	12	$262.48
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	19	14	$156.00
D0272	Bitewings - two radiographic images	4.7%	20	14	$70.40
D1330		0%	67	47	$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 officialMATTSEN, LORA (SECRETARY/TREASURER)