HEIDI HANSEN, D.M.D.

Oral Medicine Dentistry · PORTLAND, OR

Individual Active NPI 1063655967

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	124	355	$93,190	$27,247	$20,252
2023	93	326	$78,129	$23,585	$17,947
2022	100	316	$92,798	$27,912	$20,631

Top procedures (2024)

HCPCS	Description	Services	Avg allowed	Avg paid
70355	X-ray of lower jaws, upper jaws and teeth	54	$10	$8
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	47	$66	$48
76377	3d radiographic procedure with computerized image postprocessing	45	$37	$29
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	$35	$24
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	$131	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	$97	$76
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	$144	$96
70486	Ct scan of face without contrast	18	$41	$32
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	18	$94	$63
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	$82	$62

Taxonomy & licensure

Specialty	Code	Primary	License	State
Oral Medicine Dentistry	125Q00000X	✓	D11216	OR
Dentist	122300000X		D11216	OR
Dentist	122300000X		055295	NY
Oral Medicine Dentistry	125Q00000X		055295	NY

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: No
Hospice: Yes

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.