Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code D9630

D9630

Billing code D9630

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $21.72M on code D9630 from 2018 through 2024, to 695 providers — the #1,483 code in the file by dollars. 38% of it was billed in Washington.

28Total paid$21.72M
24GClaims1,013,248
Paid per claim line$21.43
33Providers billing it695
Box 32 · Location

Where D9630 is billed

  1. WAWashington
    $8.3M
  2. VAVirginia
    $8.3M
  3. MTMontana
    $1.5M
  4. GAGeorgia
    $1.4M
  5. WVWest Virginia
    $943K
  6. ILIllinois
    $388K
  7. TNTennessee
    $275K
  8. OROregon
    $229K
  9. VIVirgin Islands
    $103K
  10. MDMaryland
    $84K
  11. NVNevada
    $75K
  12. TXTexas
    $28K

The largest of 41 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing D9630

#ProviderLocationClaimsPaid on D9630
1 Renato De Luna, DMD Vancouver, WA 40,572 $1.79M
2 Greg Norell, DDS Sunnyside, WA 24,448 $1.06M
3 Kids & Family Dental, P.C. Manassas, VA 41,497 $684K
4 Nelson & Reynolds, PLLC East Wenatchee, WA 16,192 $683K
5 Kids Choice Dental Puyallup, LLC Puyallup, WA 14,197 $619K
6 Smiles 4 Kids Lacey. PC Olimpia, WA 12,241 $542K
7 Central Virginia Dental Care PLC South Chesterfield, VA 35,828 $540K
8 Great Falls Pediatric Dentistry, LLC Great Falls, MT 33,086 $521K
9 Children and Teen Dental Group Cumming, GA 18,156 $494K
10 Ellen Polsky DDS and Bobby Virk DMD, PS Federal Way, WA 7,882 $347K
11 South Center Pediatric Dentistry and Orthodontics LLC Tukwila, WA 7,802 $344K
12 James M. Seaver, D.D.S. & Tyler L. Pittman, D.D.S. P.C. Bristol, VA 14,250 $322K
13 Pediatric Dentistry PC Helena, MT 19,076 $291K
14 Sonu Kakar, D.D.S., INC. Manassas, VA 17,354 $284K
15 Deepak Kakar DDS Fredericksburg, VA 17,107 $280K
16 Foley, Daniel Beckley, WV 12,362 $269K
17 Watauga Dental Center, PLLC Kingsport, TN 10,902 $261K
18 Dentistry for Children of Georgia LLC Atlanta, GA 7,151 $252K
19 Girish Banaji, D.D.S., P.C. Fairfax, VA 14,077 $225K
20 Lefcoe,weinstein,sachs,schiff Norfolk, VA 11,333 $221K
21 Smiles 4 Kids Allenmore, P.C. Tacoma, WA 5,121 $218K
22 Candler Road Dental, PC Decatur, GA 7,106 $204K
23 Harbor Kids Dental PLLC Aberdeen, WA 4,600 $202K
24 Rowan, Susan Chicago, IL 7,689 $182K
25 Richmond Pediatric Dentistry and Orthodontics Richmond, VA 9,132 $181K
26 North Tacoma Pediatric Dentistry and Orthodontics LLC Tacoma, WA 4,115 $180K
27 Agata a Pikula DDS PLLC Puyallup, WA 3,986 $176K
28 Virginia Dental & Anesthesia Associates Fredericksburg, VA 10,407 $171K
29 John Han D.D.S., P.C. Fairfax, VA 8,522 $165K
30 Aleagha, Nasim Bozeman, MT 11,032 $162K
31 Richard L. Byrd D.D.S.P.C. Richmond, VA 9,381 $142K
32 My Kidz Dentist, PC Newnan, GA 5,078 $139K
33 Midlothian Children's Dentistry Midlothian, VA 8,896 $133K
34 Horsey, Gustav Richmond, VA 6,755 $132K
35 Sonu Lamba and Paul S. Kahlon, PS Everett, WA 2,988 $130K
36 Michael P. Mccormick JR., D.D.S., P.C. Hampton, VA 7,957 $127K
37 Augusta Regional Dental Clinic Fishersville, VA 7,555 $125K
38 Happy Smiles LLC North Chesterfield, VA 6,764 $121K
39 Kidz Dental, P.C. Woodbridge, VA 8,832 $119K
40 Tadin, Michael Chicago, IL 5,154 $118K
41 Children's Dentistry of Charlottesville, P.C. Charlottesville, VA 6,609 $114K
42 Smiles 4 Kids PC Tacoma, WA 2,566 $112K
43 Children's Dentistry of Virginia, PC Midlothian, VA 7,439 $109K
44 Harvey, Bryan Oregon City, OR 2,960 $106K
45 PDC Pediatric Dental Care PLLC Fairfax, VA 8,580 $103K
46 Hackney, Carl Grundy, VI 6,963 $103K
47 Kids Dental of Centralia, P.C. Centralia, WA 2,385 $102K
48 Glenn A. Boyles, DDS, MS, PLLC Fairmont, WV 4,238 $100K
49 Julian W. Fields D.D.S., LTD. Altavista, VA 6,116 $98K
50 Jillian Reynolds, DDS & Jonathan L Wong, DMD , PLLC Norfolk, VA 4,804 $98K
51 Chen and Su, PS Lakewood, WA 2,491 $97K
52 Garcia, Christa Grafton, WV 4,918 $96K
53 Peachtree Children's Dentistry Duluth, GA 3,428 $95K
54 Benson, Wakeshi Chester, VA 5,304 $94K
55 Abdelwahab, Tamer Virginia Beach, VA 5,798 $94K
56 Afsahi, Aram Fredericksburg, VA 4,635 $90K
57 Harbor Kids Dental Olympia, WA 2,092 $90K
58 Graham, Rana Richmond, VA 4,996 $87K
59 Charlottesville Area Dental Access INC Charlottesville, VA 5,760 $87K
60 Sunnyside Community Hospital Association Sunnyside, WA 2,125 $84K
61 Vanbibber Haught DDS PC Tumwater, WA 1,978 $84K
62 TDG Dental Group PLLC Woodbridge, VA 5,581 $83K
63 Green States Anesthesia PLLC Upper Marlboro, MD 5,157 $83K
64 Fairwood Pedodonticsllc Renton, WA 2,015 $82K
65 Dentistry Vcu Richmond, VA 4,989 $80K
66 Nguyen, Thi Lakewood, WA 2,012 $80K
67 The Children's Dental Group, LLC Lithia Springs, GA 2,865 $78K
68 Robert Lunka, DDS, PLLC Charlottesville, VA 5,253 $78K
69 Sheffield Dental, PLC Chester, VA 5,560 $78K
70 Ronald H. Hsu, DDS, MS, PLLC Camas, WA 1,844 $77K
71 Johnson, Jill Anaconda, MT 4,639 $77K
72 Villaluz, Joseph Vancouver, WA 1,729 $76K
73 Childrens Dental World Portsmouth, VA 4,366 $76K
74 Piedmont Regional Dental Clinic INC Orange, VA 4,967 $76K
75 Osp Spokane PLLC Spokane, WA 5,232 $75K
76 Children's Dental Care Kent, WA 1,727 $75K
77 Columbia Falls Family Dental Center PC Columbia Falls, MT 4,671 $73K
78 Dental Professionals of Virginia, P.C. Suffolk, VA 3,113 $70K
79 Dolan & Kalaskey LTD Charleston, WV 2,823 $70K
80 Smita Patel Des Moines DMD PC Des Moines, WA 1,660 $69K
81 Elgarawany, Ibrahim Marshall, VA 3,387 $64K
82 Kucera, Rebecca Lewisburg, WV 4,151 $64K
83 Said & Sultanzada DDS PC Woodbridge, VA 3,825 $64K
84 Doan, Thao Woodbridge, VA 3,690 $64K
85 Linda L. Ray,dds and William A. Ray, II, DDS, PLLC Fairmont, WV 2,754 $64K
86 John J. Andre, D.D.S., P.C. and Associates Glen Allen, VA 3,292 $63K
87 Kim, Seong Battle Ground, WA 3,674 $62K
88 Dynamic Dental Health Associates of Virginia Richmond, VA 2,996 $59K
89 Howard A. Mendelsohn D.D.S, PC Virginia Beach, VA 3,737 $58K
90 Daniel L Haught DDS PLLC Tacoma, WA 1,347 $58K
91 Atkins, Joseph Madison, WV 2,926 $58K
92 PSPD - Monroe, PLLC Monroe, WA 1,391 $58K
93 PSPD - Marysville, PLLC Marysville, WA 1,373 $57K
94 DR Amanjot Khara, DDS, PC Mechanicsville, VA 3,911 $57K
95 Hoffman, Lisa Hampton, VA 3,770 $54K
96 Happy Smiles, VCC, LLC Glen Allen, VA 3,330 $54K
97 Selznick, Jay Las Vegas, NV 5,962 $54K
98 Marysville Kids Dentistry Marysville, WA 1,188 $53K
99 Jamil Sowan, DDS, INC. Manassas, VA 3,603 $52K
100 DR George P Varkey DMD PC Glen Allen, VA 3,600 $52K