Dental
Springfield Kids Dentist LLC
Springfield Kids Dentist LLC was paid $2.52M by Medicaid between Feb 2019 and Nov 2024, across 40 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoSPRINGFIELD KIDS DENTIST LLC
SPRINGFIELD, OR 97478
SPRINGFIELD, OR 97478
33aNPI1831603018assigned 11/26/2017
33bProvider typePediatric Dentist
28Total paid$2.52M
24GClaims201,573
24DCodes billed40
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#8 of 109
Median peer was paid$362K
This provider vs. median7.0×
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 | |
|---|---|---|---|
| 2019 | 33,756 | $725K | |
| 2020 | 32,025 | $727K | |
| 2021 | 36,239 | $285K | |
| 2022 | 38,886 | $275K | |
| 2023 | 37,901 | $304K | |
| 2024incomplete | 22,766 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 19,954 | 19,434 | $456K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 6,033 | 1,787 | $297K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 15,614 | 15,255 | $282K |
| D1206 | Topical application of fluoride varnish | 8.2% | 20,042 | 19,516 | $207K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 3,510 | 1,988 | $140K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 2,816 | 1,772 | $133K |
| D1351 | Sealant - per tooth | 5.0% | 7,695 | 2,523 | $127K |
| D0272 | Bitewings - two radiographic images | 4.6% | 10,602 | 10,331 | $117K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 2,083 | 1,144 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 3,950 | 3,852 | $86K |
| D1354 | 3.4% | 12,704 | 3,328 | $86K | |
| D0603 | 2.6% | 16,829 | 16,474 | $65K |
28 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 3,084 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 3,772 | $57K |
| D0240 | 2.1% | 6,317 | $54K | |
| D0330 | Panoramic radiographic image | 1.9% | 1,782 | $48K |
| D1110 | Prophylaxis - adult | 1.8% | 1,063 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 4,995 | $33K |
| D8660 | 1.2% | 243 | $31K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,092 | $22K |
| D2929 | <1% | 94 | $21K | |
| D9420 | <1% | 125 | $18K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 203 | $14K |
| D0274 | Bitewings - four radiographic images | <1% | 405 | $9K |
| D0601 | <1% | 2,103 | $7K | |
| D0602 | <1% | 1,360 | $4K | |
| D2330 | <1% | 89 | $4K | |
| D9920 | <1% | 5,567 | $3K | |
| D1999 | <1% | 500 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 556 | $758.47 |
| D0270 | <1% | 68 | $686.70 | |
| D1320 | <1% | 757 | $220.00 | |
| D1330 | <1% | 20,270 | $150.00 | |
| D1310 | <1% | 20,199 | $150.00 | |
| D1510 | 0% | 15 | $0.00 | |
| D9986 | 0% | 706 | $0.00 | |
| D9971 | 0% | 92 | $0.00 | |
| D0470 | 0% | 243 | $0.00 | |
| D3120 | 0% | 21 | $0.00 | |
| D9995 | 0% | 20 | $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 officialBEDOLLA, FEMINA (OPERATIONS OFFICER)