Dental
Acorn Dentistry for Kids - East Salem, LLC
Acorn Dentistry for Kids - East Salem, LLC was paid $839K by Medicaid between Jan 2023 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoACORN DENTISTRY FOR KIDS - EAST SALEM, LLC
SALEM, OR 97301
SALEM, OR 97301
33aNPI1962157792assigned 02/21/2022
33bProvider typePediatric Dentist
28Total paid$839K
24GClaims24,573
24DCodes billed27
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#27 of 109
Median peer was paid$362K
This provider vs. median2.3×
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 | 7,072 | $228K | |
| 2024incomplete | 17,501 | $610K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 1,577 | 355 | $267K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,167 | 3,094 | $114K |
| D0603 | 8.0% | 3,350 | 3,281 | $67K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 1,917 | 1,894 | $52K |
| D1206 | Topical application of fluoride varnish | 5.8% | 3,205 | 3,134 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 3,432 | 815 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 316 | 135 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 718 | 693 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 169 | 69 | $22K |
| D9310 | 2.1% | 154 | 149 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 1,123 | 1,067 | $17K |
| D1354 | 2.1% | 728 | 217 | $17K |
15 more codes
| D0272 | Bitewings - two radiographic images | 2.0% | 1,130 | $16K |
| D0240 | 1.6% | 870 | $13K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 478 | $13K |
| D2933 | 1.5% | 74 | $13K | |
| D1351 | Sealant - per tooth | 1.5% | 499 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 453 | $12K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 75 | $11K |
| D0330 | Panoramic radiographic image | <1% | 201 | $7K |
| D0602 | <1% | 130 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | $2K |
| D1110 | Prophylaxis - adult | <1% | 58 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 54 | $1K |
| D1330 | 0% | 261 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 147 | $0.00 |
| D1310 | 0% | 247 | $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.
From NPPES
Who's on the registration
Authorized officialRICHARDSON, TIMOTHY (CEO/DDS)
| Provider | Location | Paid |
|---|---|---|
| Acorn Dentistry for Kids - Keizer, LLC | Keizer, OR | $7.81M |
| Eugene Kids' Dentist, LLC | Eugene, OR | $4.23M |
| Acorn Dentistry for Kids - Silverton, LLC | Silverton, OR | $2.71M |
| Acorn Dentistry for Kids - Corvallis, LLC | Corvallis, OR | $2.25M |
| Acorn Dentistry for Kids - West Salem, LLC | Salem, OR | $1.61M |
| Acorn Dentistry for Kids - Hillsboro, LLC | Hillsboro, OR | $1.34M |
| Medical Care Transportation Group LLC | Port Allen, LA | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.