Dental
Kaiser Foundation Health Plan of the Northwest
Kaiser Foundation Health Plan of the Northwest was paid $6.90M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 16% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
PORTLAND, OR 97232
PORTLAND, OR 97232
33aNPI1689980740assigned 08/27/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$6.90M
24GClaims85,835
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#1 of 311
Median peer was paid$6K
This provider vs. median1,076×
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 | 3,354 | $422K | |
| 2019 | 14,550 | $1.37M | |
| 2020 | 7,627 | $533K | |
| 2021 | 13,847 | $999K | |
| 2022 | 13,319 | $1.02M | |
| 2023 | 15,497 | $1.14M | |
| 2024incomplete | 17,641 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 16% | 16,726 | 16,434 | $1.13M |
| D1110 | Prophylaxis - adult | 15% | 7,779 | 7,653 | $1.01M |
| D0274 | Bitewings - four radiographic images | 13% | 9,639 | 9,483 | $896K |
| D0330 | Panoramic radiographic image | 11% | 4,546 | 4,489 | $754K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 5,323 | 5,253 | $489K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 12,466 | 12,090 | $482K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 6,069 | 5,987 | $455K |
| D1330 | 4.9% | 4,681 | 4,619 | $340K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 8,898 | 5,549 | $310K |
| D4910 | 4.4% | 1,385 | 1,374 | $302K | |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 2,123 | 2,039 | $207K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,534 | 1,518 | $197K |
10 more codes
| D0272 | Bitewings - two radiographic images | 2.0% | 2,413 | $137K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 578 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 117 | $43K |
| D0270 | <1% | 801 | $27K | |
| D0460 | <1% | 325 | $26K | |
| D9310 | <1% | 72 | $15K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 49 | $11K |
| D1354 | <1% | 171 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 51 | $6K |
| D1351 | Sealant - per tooth | <1% | 89 | $6K |
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 officialBARTON, STEPHEN (EXECUTIVE DIRECTOR, REVENUE CYCLE)
Parent organizationKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Portland, OR | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.