Dental
Betrous, O'sama
Betrous, O'sama was paid $405K by Medicaid between Mar 2019 and Nov 2020, across 18 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoBETROUS, O'SAMA
PORTLAND, OR 97236
PORTLAND, OR 97236
33aNPI1891949939assigned 11/14/2008
33bProvider typeDentist
28Total paid$405K
24GClaims13,506
24DCodes billed18
24AFirst – last monthMar 2019 – Nov 2020
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#27 of 233
Median peer was paid$19K
This provider vs. median22×
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 | 5,565 | $149K | |
| 2020 | 7,941 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 1,083 | 616 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,544 | 2,436 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,818 | 1,743 | $58K |
| D1110 | Prophylaxis - adult | 11% | 1,155 | 1,089 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 617 | 400 | $43K |
| D1206 | Topical application of fluoride varnish | 8.9% | 1,751 | 1,711 | $36K |
| D0274 | Bitewings - four radiographic images | 7.1% | 1,282 | 1,207 | $29K |
| D0330 | Panoramic radiographic image | 6.7% | 709 | 671 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 959 | 875 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 316 | 299 | $9K |
| D0272 | Bitewings - two radiographic images | 1.5% | 378 | 356 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 522 | 478 | $6K |
6 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 115 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 38 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 116 | $1K |
| D1999 | 0% | 47 | $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.