Busch, Ellory

Busch, Ellory was paid $15K by Medicaid between Apr 2022 and Oct 2024, across 9 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 41% of everything it billed.

33Billing provider infoBUSCH, ELLORY
HILLSBORO, OR 97124

33aNPI1669006227assigned 02/23/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims1,739

24DCodes billed9

24AFirst – last monthApr 2022 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Oregon

Rank by total paid#126 of 311

Median peer was paid$6K

This provider vs. median2.3×

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
2022	238	$912.17
2023	1,191	$13K
2024incomplete	310	$743.49

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	41%	125	125	$6K
D0150	Comprehensive oral evaluation - new or established patient	41%	166	166	$6K
D0220	Intraoral - periapical first radiographic image	7.6%	117	113	$1K
D1206	Topical application of fluoride varnish	7.2%	59	59	$1K
D0230	Intraoral - periapical each additional radiographic image	2.5%	70	25	$369.00
D0330	Panoramic radiographic image	<1%	79	77	$104.00
D0603		<1%	263	263	$2.02
D1310		<1%	420	419	$0.03
D1330		0%	440	438	$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.