Spinnaker Pediatric Dentistry PC

Spinnaker Pediatric Dentistry PC was paid $4K by Medicaid between Jan 2018 and Jul 2018, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 46% of everything it billed.

33Billing provider infoSPINNAKER PEDIATRIC DENTISTRY PC
SALEM, OR 97302

33aNPI1629343967assigned 03/20/2012

33bProvider typePediatric Dentist

28Total paid$4K

24GClaims144

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#100 of 109

Median peer was paid$362K

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	144	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	46%	46	44	$2K
D1206	Topical application of fluoride varnish	30%	60	58	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	38	37	$947.20

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 officialCOOPER, SEAN (PRESIDENT)