Perledent Dental Care PC

Perledent Dental Care PC was paid $20K by Medicaid between Jan 2018 and Oct 2019, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 21% of everything it billed.

33Billing provider infoPERLEDENT DENTAL CARE PC
HILLSBORO, OR 97006

33aNPI1841529823assigned 12/21/2009

33bProvider typeDental Clinic/Center

28Total paid$20K

24GClaims700

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Dental Clinic/Center providers in Oregon

Rank by total paid#25 of 39

Median peer was paid$86K

This provider vs. median0.2×

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	342	$11K
2019	358	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	21%	233	233	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	145	145	$4K
D0150	Comprehensive oral evaluation - new or established patient	19%	103	102	$4K
D4341		17%	38	13	$3K
D1110	Prophylaxis - adult	9.3%	42	42	$2K
D0274	Bitewings - four radiographic images	6.2%	44	44	$1K
D0220	Intraoral - periapical first radiographic image	5.3%	82	79	$1K
D1120	Dental cleaning, childProphylaxis - child	2.6%	13	13	$520.00

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 officialVAN, KYLE (PRESIDENT)