Dental
Adc Dental Clinic, INC
Adc Dental Clinic, INC was paid $229K by Medicaid between Jan 2018 and Dec 2021, across 19 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 31% of everything it billed.
33Billing provider infoADC DENTAL CLINIC, INC
MEDFORD, OR 97504
MEDFORD, OR 97504
33aNPI1760420467assigned 06/03/2006
33bProvider typeDenturist
28Total paid$229K
24GClaims4,775
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Denturist providers in Oregon
Rank by total paid#6 of 18
Median peer was paid$28K
This provider vs. median8.1×
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 | 1,303 | $74K | |
| 2019 | 1,945 | $103K | |
| 2020 | 928 | $26K | |
| 2021 | 599 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 31% | 705 | 184 | $70K |
| D7510 | 15% | 455 | 161 | $35K | |
| D0140 | Limited oral evaluation - problem focused | 12% | 835 | 764 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 457 | 453 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 574 | 567 | $21K |
| D1110 | Prophylaxis - adult | 5.1% | 258 | 255 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 733 | 687 | $9K |
| D4341 | 3.5% | 108 | 41 | $8K | |
| D7250 | 2.3% | 42 | 12 | $5K | |
| D4910 | 1.6% | 53 | 52 | $4K | |
| D4355 | 1.3% | 69 | 66 | $3K | |
| D2332 | 1.2% | 29 | 12 | $3K |
7 more codes
| D0120 | Dental checkup, returning patient | <1% | 92 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 37 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 157 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 45 | $836.00 |
| D1999 | <1% | 85 | $574.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $290.00 |
| D1330 | <1% | 29 | $130.00 |
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 officialEPLETT, BECKY (OFFICE MANAGER)