Dental
Childrens Dentistry
Childrens Dentistry was paid $16K by Medicaid between Jan 2018 and Aug 2018, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 85% of everything it billed.
33Billing provider infoCHILDRENS DENTISTRY
ONTARIO, OR 97914
ONTARIO, OR 97914
33aNPI1790225399assigned 03/01/2017
33bProvider typePediatric Dentist
28Total paid$16K
24GClaims1,329
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#93 of 109
Median peer was paid$362K
This provider vs. median0.0×
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 | 1,329 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 85% | 249 | 249 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 14 | 14 | $1K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 15 | 14 | $739.02 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 176 | 176 | $136.80 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 173 | 162 | $9.22 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 255 | 255 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 271 | 124 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 176 | 176 | $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 officialBRYSON, JEFFREY (OWNER)
Parent organizationCHILDRENS DENTISTRY OF IDAHO
| Provider | Location | Paid |
|---|---|---|
| Children's Dentistry of Idaho, PLLC | Nampa, ID | $3.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.