Dental
Nopo Kids Dentistry, LLC
Nopo Kids Dentistry, LLC was paid $370K by Medicaid between Jan 2018 and Sep 2021, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoNOPO KIDS DENTISTRY, LLC
PORTLAND, OR 97217
PORTLAND, OR 97217
33aNPI1760869143assigned 05/05/2015
33bProvider typePediatric Dentist
28Total paid$370K
24GClaims19,778
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#54 of 109
Median peer was paid$362K
This provider vs. median1.0×
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 | 12,562 | $246K | |
| 2019 | 6,827 | $117K | |
| 2020 | 377 | $6K | |
| 2021 | 12 | $479.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,447 | 2,331 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 819 | 262 | $62K |
| D1206 | Topical application of fluoride varnish | 12% | 2,703 | 2,460 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,542 | 1,489 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 1,884 | 1,155 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 1,450 | 1,342 | $18K |
| D0272 | Bitewings - two radiographic images | 4.8% | 1,025 | 951 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 418 | 391 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 376 | 345 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 307 | 292 | $8K |
| D0603 | 2.0% | 1,644 | 1,545 | $7K | |
| D1351 | Sealant - per tooth | 1.7% | 224 | 82 | $6K |
9 more codes
| D1354 | 1.6% | 1,552 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 57 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 127 | $4K |
| D0602 | <1% | 690 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 33 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 27 | $3K |
| D0330 | Panoramic radiographic image | <1% | 71 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | $1K |
| D1330 | <1% | 2,357 | $180.00 |
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 officialTJOSTOLVSON, WENDI (PATIENT FINANCIAL COORDINATOR)