Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Cascade Kids Dental

Cascade Kids Dental was paid $2.78M by Medicaid between Jan 2018 and Aug 2020, across 46 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.

33Billing provider infoCASCADE KIDS DENTAL
BEND, OR 97702
33aNPI1992706055assigned 08/10/2005
33bProvider typePediatric Dentist
28Total paid$2.78M
24GClaims144,235
24DCodes billed46
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#7 of 109
Median peer was paid$362K
This provider vs. median7.7×

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$100K$200K2018201920202021202220232024
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
201856,714$1.07M
201962,578$1.32M
202024,943$385K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 36% 7,416 848 $1.01M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 18% 5,044 806 $502K
D7140 Extraction, erupted tooth or exposed root 11% 3,598 1,613 $295K
D9420 5.9% 695 653 $164K
D1120 Dental cleaning, childProphylaxis - child 4.4% 6,152 5,915 $122K
D2150 Silver amalgam - two surfaces, primary or permanent 3.3% 1,696 939 $92K
D2330 2.9% 1,156 327 $81K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.4% 5,294 5,077 $66K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 3,116 2,871 $51K
D1208 Topical application of fluoride, excluding varnish 1.8% 5,234 4,999 $51K
D0150 Comprehensive oral evaluation - new or established patient 1.6% 2,598 2,461 $44K
D9310 1.5% 723 705 $41K
34 more codes
D1510 1.2% 196 $34K
D0272 Bitewings - two radiographic images 1.1% 4,809 $31K
D2140 1.0% 413 $29K
D0240 <1% 3,817 $27K
D1351 Sealant - per tooth <1% 3,828 $20K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 114 $18K
D0140 Limited oral evaluation - problem focused <1% 2,642 $18K
D0330 Panoramic radiographic image <1% 1,410 $13K
D1110 Prophylaxis - adult <1% 703 $12K
D0220 Intraoral - periapical first radiographic image <1% 2,233 $10K
D0602 <1% 7,361 $9K
D1206 Topical application of fluoride varnish <1% 3,273 $9K
D9630 <1% 1,989 $9K
D0230 Intraoral - periapical each additional radiographic image <1% 630 $7K
D7510 <1% 39 $5K
D2331 <1% 49 $5K
D1354 <1% 14,052 $3K
D1999 <1% 1,377 $763.00
D9440 <1% 14 $737.36
D0210 Intraoral - complete series of radiographic images <1% 12 $696.00
D0170 <1% 26 $365.48
D0274 Bitewings - four radiographic images <1% 13 $199.00
D0603 <1% 163 $164.25
D9996 <1% 32 $151.20
D0601 <1% 3,082 $117.75
D1330 <1% 4,471 $76.81
D0191 <1% 3,675 $52.51
D0270 <1% 148 $28.50
D9920 <1% 20,933 $14.97
D9995 <1% 23 $1.00
D1310 0% 16,631 $0.00
D9215 0% 3,079 $0.00
D0171 0% 257 $0.00
D9992 0% 19 $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 officialGIBSON, REX (OWNER)
Same official

Other billing entities under GIBSON, REX

Full network →
ProviderLocationPaid
Pediatric Dentistry of Denton PLLCDenton, TX$1.30M

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