Dental
14TH Avenue Dental LLC
14TH Avenue Dental LLC was paid $3K by Medicaid between Jun 2023 and Nov 2024, across 14 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 31% of everything it billed.
33Billing provider info14TH AVENUE DENTAL LLC
ALBANY, OR 97322
ALBANY, OR 97322
33aNPI1740707462assigned 08/23/2017
33bProvider typeDentist
28Total paid$3K
24GClaims1,880
24DCodes billed14
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#165 of 233
Median peer was paid$19K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 610 | $2K | |
| 2024incomplete | 1,270 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 31% | 178 | 177 | $1K |
| D4341 | 29% | 128 | 92 | $990.00 | |
| D1110 | Prophylaxis - adult | 24% | 256 | 255 | $799.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 66 | 46 | $142.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 40 | 40 | $114.00 |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 57 | 56 | $105.00 |
| D0180 | 2.5% | 19 | 19 | $84.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 65 | 64 | $52.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | 13 | $26.00 |
| D1206 | Topical application of fluoride varnish | <1% | 59 | 59 | $19.00 |
| D0603 | <1% | 32 | 32 | $10.00 | |
| D1330 | <1% | 917 | 804 | $0.02 |
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 officialJAMES, BENJAMIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bloom Pediatric Dentistry | Dallas, OR | $538K |
| Honeymint Pediatric Dentistry LLC | Albany, OR | $511K |
| Hazel Dental | Salem, OR | $0.00 |
| Willow Dental Group LLC | Gladstone, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.