Physician
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians was paid $594K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.
33Billing provider infoCONFEDERATED TRIBES OF COOS, LOWER UMPQUA & SIUSLAW INDIANS
COOS BAY, OR 97420
COOS BAY, OR 97420
33aNPI1780755454assigned 11/13/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$594K
24GClaims5,511
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Oregon
Rank by total paid#5 of 17
Median peer was paid$105K
This provider vs. median5.7×
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 | 870 | $123K | |
| 2019 | 1,012 | $127K | |
| 2020 | 264 | $31K | |
| 2021 | 801 | $87K | |
| 2022 | 586 | $31K | |
| 2023 | 747 | $48K | |
| 2024incomplete | 1,231 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 48% | 713 | 699 | $287K |
| D1110 | Prophylaxis - adult | 20% | 358 | 348 | $118K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 112 | 109 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 206 | 201 | $54K |
| D1355 | 3.7% | 264 | 212 | $22K | |
| D1354 | 3.2% | 199 | 46 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 25 | 24 | $16K |
| D1351 | Sealant - per tooth | 2.2% | 358 | 55 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 17 | 12 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 0% | 693 | 661 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 206 | 196 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 26 | 26 | $0.00 |
3 more codes
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 officialSMITH, DAVON (CHIEF OPERATIONS OFFICER)
| Provider | Location | Paid |
|---|---|---|
| DRS Consultant Group, LLC | Norfolk, VA | $1.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.