GATEWAY DENTAL SURGERY CENTER
NPI: 1902287469
· PORTLAND, OR 97220
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/10/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 41899 with only 1 total codes billed. Highly concentrated billing profile.
$2.38M
Total Medicaid Paid
Provider Details
| Authorized Official | BOIE, KEVIN (CFO) |
| Parent Organization | DENTAL SERVICE, LLC |
| NPI Enumeration Date | 06/10/2015 |
Related Entities
Other providers sharing the same authorized official: BOIE, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
184 |
$243K |
| 2019 |
128 |
$162K |
| 2020 |
131 |
$168K |
| 2021 |
330 |
$426K |
| 2022 |
373 |
$522K |
| 2023 |
473 |
$645K |
| 2024 |
357 |
$214K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,976 |
1,926 |
$2.38M |