Dental
Portland Dental Anesthesia
Portland Dental Anesthesia was paid $124K by Medicaid between Feb 2018 and Sep 2019, across 1 billing code. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 100% of everything it billed.
33Billing provider infoPORTLAND DENTAL ANESTHESIA
SHERWOOD, OR 97140
SHERWOOD, OR 97140
33aNPI1639604689assigned 04/27/2017
33bProvider typeDentist Anesthesiologist
28Total paid$124K
24GClaims210
24DCodes billed1
24AFirst – last monthFeb 2018 – Sep 2019
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 | 109 | $65K | |
| 2019 | 101 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 100% | 210 | 193 | $124K |
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 officialALLRED, RYAN (OWNER)