Providers

MAX W HIGBEE DMD PC

NPI 1902862709, organization, Redmond, OR, Dentist, General Practice

5
Evidence tier
informational
score 27 of 100, rank 11989, $105 at stake

Public list actions

Medicare revocation effective February 15, 2023, barred from re-enrolling until September 13, 2026
424.535(a)(1) noncompliance (dme standards not met), DME Supplier - Oral Surgery - Dentist, OR

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(1) noncompliance (dme standards not met)
Exact NPI, name verifiedFeb 15, 2023Sep 13, 202619Mar 2023Nov 2024$105$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMAX W HIGBEE DMD PC
TypeOrganization
StatusActive
NPI issuedApril 21, 2006, last updated November 29, 2017
Practice location1765 SW PARKWAY DR, Redmond, OR 97756-2550, 541-548-8175
Authorized officialMAX HIGBEE (Owner/Operator)
Specialties
Dentist, General Practice (1223G0001X, primary, license D4439 OR)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
D0140Limited oral evaluation - problem focused$49676%$0.14$29 (top 5% from $60)too few months to rank
D0220Medicaid service code$15324%$0.05$11 (top 5% from $19)too few months to rank
D1120Medicaid service code$00%$0.00$34 (top 5% from $51)too few months to rank
D1206Medicaid service code$00%$0.00$18 (top 5% from $32)too few months to rank
D1110Medicaid service code$00%$0.00$45 (top 5% from $86)too few months to rank
D4910Medicaid service code$00%$0.00$76 (top 5% from $90)too few months to rank
D1330Medicaid service code$00%$0.00$0.72 (top 5% from $23)too few months to rank
D0120Medicaid service code$00%$0.00$26 (top 5% from $63)too few months to rank

In this area

33 providers in OR carry an indicator in the public record, with $12.0M at stake between them. The most common is part of a provider network, on 16 of them, followed by more hours than a day holds on 10. 5 are tier 1: documented action, then payment.

tierproviderat stakewhy
1JENNIFER JABLIN
Portland, OR, ranked 102
$264K
  • Listed on the CA Medicaid exclusion list since March 3, 2023.
  • Medicaid still paid claims in 18 later months, $264,374 in total.
1COASTAL DIAGNOSTIC TESTING GROUP INC
Coos Bay, OR, ranked 125
$141K
  • Adjudicated (charged, pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated June 23, 2026.
  • Medicaid paid $140,676 in the last 12 observed months.
1GARY YOUNG
Eugene, OR, ranked 362
$2K
  • Listed on the CA Medicaid exclusion list since February 28, 2020.
  • Medicaid still paid claims in 1 later month, $2,259 in total.
1JERRY CRUM
Hermiston, OR, ranked 429
$252
  • Listed on the CA Medicaid exclusion list since May 26, 2022.
  • Medicaid still paid claims in 1 later month, $252 in total.
1DARLA BYUS
Prineville, OR, ranked 581
$0
  • Adjudicated (sentenced) per a Department of Justice release dated September 24, 2024.
  • No Medicaid payments in the last 12 observed months.
3AIDEN HEALTHCARE LLC
Portland, OR, ranked 935
$3.8M
  • Part of provider network D1-00031, ranked 31 nationally.
3AGAPE HOSPICE & PALLIATIVE CARE NW, LLC
Portland, OR, ranked 999
$1.5M
  • Part of provider network D1-00037, ranked 37 nationally.
3WESTERN HEALTH RESOURCES
Portland, OR, ranked 1454
$34K
  • Part of provider network D1-00071, ranked 71 nationally.
All 33 in OR

Recent enforcement in OR

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026
Two Charged in the District of Oregon as Part of the National Health Care Fraud Takedown
Two defendants were charged with health care fraud for submitting claims for genetic testing that was never provided to Medicare Advantage plans and for sleep tests billed as conducted in office when they were done at home or not at all.
DOJComplaint filedMar 24, 2026
Pakistani National Residing in Southern California Charged with Fraudulently Billing Medicare Plans
The owner of Oregon Clinical Laboratory allegedly participated in a scheme to fraudulently bill Medicare Advantage insurance plans for laboratory testing services never performed, submitting more than $46 million in claims.
DOJIndictedJan 26, 2026
Oregon Mother and Daughter Facing New Charges Related to Forced Labor and Health Care Fraud
A superseding indictment alleges the owners of an adult foster care home coerced the labor of three victims for little or no pay while requesting and receiving Medicaid and ODHS "exceptional payments" for additional paid employee hours, lying about the victims' residence in the home, and falsifying a disability claim so one defendant could be paid hourly as a Homecare Worker.
DOJIndictedJan 26, 2026
Oregon Mother and Daughter Facing New Charges Related to Forced Labor and Health Care Fraud
A superseding indictment alleges the owners of an adult foster care home coerced the labor of three victims for little or no pay while requesting and receiving Medicaid and Oregon Department of Human Services "exceptional payments" for additional employee hours, lying about the victims' residence in the home, and falsifying a disability claim so one defendant could be paid hourly as a Homecare Worker.
DOJCivil settlementJul 1, 2025
U.S. Attorney’s Office Participates in National Health Care Fraud Takedown Resulting in $2 Million Civil Settlement
Riverpark allegedly billed Medicare and Oregon Medicaid for grossly substandard nursing home services when staffing levels did not meet minimum staffing requirements, resulting in residents experiencing increased instances and severity of preventable urinary tract infections, pressure sores, and falls.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.