Dental
Lake, Matthew
Lake, Matthew was paid $4K by Medicaid between Jul 2024 and Sep 2024, across 14 billing codes. Its largest line is D0330, Panoramic radiographic image — 22% of everything it billed.
33Billing provider infoLAKE, MATTHEW
DALLAS, OR 97338
DALLAS, OR 97338
33aNPI1750952750assigned 07/09/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims794
24DCodes billed14
24AFirst – last monthJul 2024 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#185 of 311
Median peer was paid$6K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 794 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 22% | 51 | 51 | $832.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 68 | 68 | $798.00 |
| D0274 | Bitewings - four radiographic images | 14% | 67 | 67 | $551.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 148 | 75 | $423.00 |
| D0220 | Intraoral - periapical first radiographic image | 8.4% | 92 | 92 | $325.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 22 | 18 | $280.00 |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 17 | 17 | $175.00 |
| D0603 | 4.3% | 66 | 66 | $165.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 14 | 14 | $142.00 |
| D1206 | Topical application of fluoride varnish | 1.5% | 12 | 12 | $57.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 12 | 12 | $56.00 |
| D0602 | 1.4% | 12 | 12 | $55.00 |
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.