Clinic
Squaxin Island Dental Clinic Encounter
Squaxin Island Dental Clinic Encounter was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoSQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
SHELTON, WA 98584
SHELTON, WA 98584
33aNPI1003021338assigned 05/11/2007
33bProvider typeDental Clinic/Center
28Total paid$1.12M
24GClaims4,041
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#59 of 143
Median peer was paid$573K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 149 | $38K | |
| 2019 | 305 | $77K | |
| 2020 | 210 | $58K | |
| 2021 | 913 | $198K | |
| 2022 | 705 | $236K | |
| 2023 | 1,056 | $281K | |
| 2024incomplete | 703 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 2,754 | 2,325 | $1.10M |
| D1206 | Topical application of fluoride varnish | <1% | 506 | 483 | $9K |
| D1110 | Prophylaxis - adult | <1% | 111 | 106 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 146 | 124 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 307 | 292 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 80 | 76 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 41 | 41 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | 25 | $926.26 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $160.86 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 25 | 25 | $93.48 |
| D0190 | 0% | 12 | 12 | $0.00 | |
| D1330 | 0% | 21 | 18 | $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 officialJONES, WHITNEY (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Squaxin Island Medical Encounter | Shelton, WA | $4.61M |
| Eastern Oregon Orthopaedic Surgery & Fracture Clinic, INC | Pendleton, OR | $19K |
| Squaxin Island Dental Clinic FFS | Shelton, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.