Dental
Woodburn Modern Dental LLC
Woodburn Modern Dental LLC was paid $127K by Medicaid between May 2020 and Nov 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoWOODBURN MODERN DENTAL LLC
WOODBURN, OR 97071
WOODBURN, OR 97071
33aNPI1821643693assigned 08/07/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$127K
24GClaims4,641
24DCodes billed16
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#61 of 311
Median peer was paid$6K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2020 | 117 | $4K | |
| 2021 | 231 | $5K | |
| 2022 | 1,031 | $25K | |
| 2023 | 1,889 | $50K | |
| 2024incomplete | 1,373 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 532 | 525 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 536 | 533 | $19K |
| D4341 | 13% | 190 | 72 | $17K | |
| D0210 | Intraoral - complete series of radiographic images | 11% | 306 | 305 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 685 | 678 | $12K |
| D0140 | Limited oral evaluation - problem focused | 8.9% | 358 | 342 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 701 | 688 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 258 | 254 | $7K |
| D0274 | Bitewings - four radiographic images | 4.1% | 225 | 220 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 54 | 26 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 406 | 340 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 44 | 26 | $2K |
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 officialPATEL, JABAL (CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Mchenry Dentist | Johnsburg, IL | $818K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.