Dental
Cornerstone Dentistry, LLC
Cornerstone Dentistry, LLC was paid $480.10 by Medicaid between Jan 2018 and Dec 2023, across 33 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.
33Billing provider infoCORNERSTONE DENTISTRY, LLC
ISLAND CITY, OR 97850
ISLAND CITY, OR 97850
33aNPI1750838694assigned 09/08/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$480.10
24GClaims26,780
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#249 of 311
Median peer was paid$6K
This provider vs. median0.1×
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 | 7,516 | $0.00 | |
| 2019 | 6,569 | $0.00 | |
| 2020 | 3,621 | $0.00 | |
| 2021 | 3,612 | $0.00 | |
| 2022 | 3,132 | $283.03 | |
| 2023 | 2,330 | $197.07 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 48% | 2,943 | 2,910 | $231.12 |
| D0274 | Bitewings - four radiographic images | 25% | 2,862 | 2,815 | $121.66 |
| D1206 | Topical application of fluoride varnish | 21% | 4,174 | 4,068 | $102.18 |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 1,758 | 1,653 | $25.14 |
| D0330 | Panoramic radiographic image | 0% | 351 | 349 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,229 | 2,198 | $0.00 |
| D9996 | 0% | 858 | 851 | $0.00 | |
| D0270 | 0% | 368 | 363 | $0.00 | |
| D1354 | 0% | 305 | 198 | $0.00 | |
| D0191 | 0% | 1,126 | 1,114 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 358 | 282 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 207 | 192 | $0.00 |
21 more codes
| D2140 | 0% | 70 | $0.00 | |
| D4910 | 0% | 77 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 31 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 37 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 2,754 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,730 | $0.00 |
| D1310 | 0% | 156 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 452 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 625 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 82 | $0.00 |
| D1330 | 0% | 749 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 293 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 346 | $0.00 |
| D0602 | 0% | 451 | $0.00 | |
| D0603 | 0% | 118 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 346 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 566 | $0.00 |
| D0601 | 0% | 312 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $0.00 |
| D2160 | 0% | 21 | $0.00 | |
| D2931 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialKRUSE, BRIAN (OWNER/SOLE PROPRIETOR)