Dental
Bloom Pediatric Dentistry
Bloom Pediatric Dentistry was paid $538K by Medicaid between Mar 2021 and May 2023, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoBLOOM PEDIATRIC DENTISTRY
DALLAS, OR 97338
DALLAS, OR 97338
33aNPI1841805991assigned 09/14/2020
33bProvider typePediatric Dentist
28Total paid$538K
24GClaims14,813
24DCodes billed20
24AFirst – last monthMar 2021 – May 2023
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#36 of 109
Median peer was paid$362K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 1,358 | $44K | |
| 2022 | 8,389 | $309K | |
| 2023 | 5,066 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 793 | 267 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,783 | 1,727 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 950 | 513 | $61K |
| D1206 | Topical application of fluoride varnish | 8.4% | 1,865 | 1,806 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 720 | 383 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 996 | 972 | $40K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 448 | 218 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 782 | 748 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 975 | 862 | $23K |
| D1351 | Sealant - per tooth | 3.5% | 631 | 257 | $19K |
| D0272 | Bitewings - two radiographic images | 3.1% | 729 | 689 | $16K |
| D0240 | 2.5% | 611 | 296 | $14K |
8 more codes
| D1354 | 2.0% | 812 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 691 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 717 | $10K |
| D0603 | 1.6% | 1,070 | $9K | |
| D0274 | Bitewings - four radiographic images | <1% | 98 | $4K |
| D0330 | Panoramic radiographic image | <1% | 56 | $3K |
| D1110 | Prophylaxis - adult | <1% | 58 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | $1K |
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 officialJAMES, BENJAMIN (OWNER / DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Honeymint Pediatric Dentistry LLC | Albany, OR | $511K |
| 14TH Avenue Dental LLC | Albany, OR | $3K |
| Hazel Dental | Salem, OR | $0.00 |
| Willow Dental Group LLC | Gladstone, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.