Dental
Crisdental Grants Pass LLC
Crisdental Grants Pass LLC was paid $6K by Medicaid between Jan 2018 and Nov 2018, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoCRISDENTAL GRANTS PASS LLC
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1790239697assigned 08/09/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims14,214
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#159 of 311
Median peer was paid$6K
This provider vs. median0.9×
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 | 14,214 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 336 | 318 | $982.00 |
| D0210 | Intraoral - complete series of radiographic images | 14% | 153 | 152 | $802.00 |
| D0603 | 10% | 2,004 | 1,786 | $572.00 | |
| D0140 | Limited oral evaluation - problem focused | 9.2% | 485 | 464 | $521.00 |
| D4342 | 7.3% | 105 | 30 | $414.00 | |
| D0191 | 7.3% | 610 | 575 | $414.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 250 | 244 | $395.00 |
| D1110 | Prophylaxis - adult | 5.8% | 118 | 115 | $329.00 |
| D1354 | 5.4% | 6,678 | 409 | $308.00 | |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 505 | 480 | $238.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 131 | 124 | $200.00 |
| D4341 | 3.2% | 77 | 28 | $180.00 |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 97 | $116.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 371 | $90.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 14 | $71.00 |
| D0601 | <1% | 30 | $22.00 | |
| D0270 | <1% | 37 | $22.00 | |
| D1320 | 0% | 12 | $0.00 | |
| D1330 | 0% | 2,153 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 14 | $0.00 |
| D0460 | 0% | 34 | $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 officialBRATLAND, MICHAEL (OWNER)
Parent organizationCRISDENTAL GROUP PC
| Provider | Location | Paid |
|---|---|---|
| Crisdental Salem L.L.C. | Salem, OR | $1K |
| Crisdental Eagle Point LLC | Eagle Point, OR | $1K |
| Cris Dental Group | Eugene, OR | $137.00 |
| Cris Dental Group | Springfield, OR | $111.00 |
| Crisdental Lincoln City, LLC | Lincoln City, OR | $46.00 |
| American Dental L.L.C | Roseburg, OR | $0.00 |
| Crisdental Central Point | Central Point, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.