Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Harmony Pediatric Dental Group LLC

Harmony Pediatric Dental Group LLC was paid $660K by Medicaid between May 2018 and Dec 2024, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.

33Billing provider infoHARMONY PEDIATRIC DENTAL GROUP LLC
SANDY, OR 97055
33aNPI1942712922assigned 10/30/2017
33bProvider typePediatric Dentist
28Total paid$660K
24GClaims22,744
24DCodes billed21
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#34 of 109
Median peer was paid$362K
This provider vs. median1.8×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201813$221.00
201914$403.68
2020246$4K
2021917$17K
20222,889$52K
20238,194$212K
2024incomplete10,471$375K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 18% 650 213 $121K
D1120 Dental cleaning, childProphylaxis - child 15% 4,033 3,935 $99K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 2,666 2,628 $82K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.9% 741 368 $59K
D0150 Comprehensive oral evaluation - new or established patient 7.9% 1,248 1,201 $52K
D1208 Topical application of fluoride, excluding varnish 6.0% 1,805 1,763 $40K
D1206 Topical application of fluoride varnish 5.0% 1,301 1,268 $33K
D1351 Sealant - per tooth 4.9% 1,205 401 $32K
D7140 Extraction, erupted tooth or exposed root 4.0% 478 260 $27K
D9999 Unspecified adjunctive procedure, by report 3.9% 698 694 $25K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.3% 868 756 $22K
D0272 Bitewings - two radiographic images 2.3% 1,585 1,541 $15K
9 more codes
D0240 2.0% 1,610 $13K
D9630 2.0% 354 $13K
D0140 Limited oral evaluation - problem focused 1.1% 280 $7K
D0220 Intraoral - periapical first radiographic image <1% 803 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 96 $6K
D1354 <1% 1,343 $5K
D0230 Intraoral - periapical each additional radiographic image <1% 921 $2K
D0330 Panoramic radiographic image <1% 13 $510.60
D1999 <1% 46 $267.00

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.

From NPPES

Who's on the registration

Authorized officialROCKWELL, NATE (CPA)
Same official

Other billing entities under ROCKWELL, NATE

Full network →
ProviderLocationPaid
Legendary Smiles Orthodontics LLCReno, NV$993K
The Dentists' Office Fernley LLCFernley, NV$72K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.