HHHKC DENTAL LLC
NPI: 1891902896
· SALEM, OR 97302
· Dental Clinic/Center
· NPI assigned 05/17/2007
$4.67M
Total Medicaid Paid
Provider Details
| Authorized Official | HARROUN, KIM (PRACTICE ADMIN) |
| NPI Enumeration Date | 05/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
891 |
$149K |
| 2019 |
530 |
$72K |
| 2020 |
5,833 |
$999K |
| 2021 |
6,718 |
$1.21M |
| 2022 |
1,697 |
$272K |
| 2023 |
4,607 |
$947K |
| 2024 |
4,526 |
$1.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
9,197 |
2,240 |
$2.26M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
6,344 |
2,772 |
$1.16M |
| D9222 |
|
3,238 |
2,769 |
$681K |
| D0140 |
Limited oral evaluation - problem focused |
5,743 |
5,465 |
$533K |
| D0330 |
Panoramic radiographic image |
172 |
159 |
$18K |
| D7250 |
|
36 |
13 |
$11K |
| D1999 |
|
72 |
55 |
$78.40 |