Dental
-
- was paid $28K by Medicaid between Mar 2023 and Aug 2023, across 3 billing codes. Its largest line is D0364, — 58% of everything it billed.
33Billing provider info-
SALEM, OR 97302
SALEM, OR 97302
33aNPI1922647312assigned 01/02/2020
33bProvider typeEndodontist
28Total paid$28K
24GClaims244
24DCodes billed3
24AFirst – last monthMar 2023 – Aug 2023
Compared with peers
Next to other Endodontist providers in Oregon
Rank by total paid#15 of 17
Median peer was paid$115K
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 | |
|---|---|---|---|
| 2023 | 244 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0364 | 58% | 86 | 74 | $16K | |
| D0140 | Limited oral evaluation - problem focused | 33% | 79 | 74 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 79 | 74 | $2K |
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 officialBAYAT, HUJATULLAH (OWNER)