Dental
International Community Health Services
International Community Health Services was paid $12.74M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoINTERNATIONAL COMMUNITY HEALTH SERVICES
BELLEVUE, WA 98005
BELLEVUE, WA 98005
33aNPI1003252636assigned 05/22/2013
33bProvider typeDentist
28Total paid$12.74M
24GClaims115,320
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#10 of 335
Median peer was paid$30K
This provider vs. median418×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SHAHBAZIAN, HERMES controls 11+ related entities in our dataset. Read more
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 | 20,304 | $1.84M | |
| 2019 | 17,954 | $1.90M | |
| 2020 | 10,536 | $984K | |
| 2021 | 16,405 | $1.67M | |
| 2022 | 16,637 | $2.07M | |
| 2023 | 17,078 | $2.11M | |
| 2024incomplete | 16,406 | $2.17M |
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 | 87% | 44,538 | 37,196 | $11.09M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 10,256 | 9,949 | $267K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 3,820 | 3,119 | $237K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 3,336 | 3,233 | $136K |
| D1110 | Prophylaxis - adult | <1% | 3,031 | 2,910 | $126K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,584 | 3,452 | $121K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,249 | 1,765 | $118K |
| D4341 | <1% | 3,506 | 2,223 | $109K | |
| D1206 | Topical application of fluoride varnish | <1% | 5,452 | 5,270 | $98K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,963 | 3,737 | $93K |
| D4910 | <1% | 1,362 | 1,338 | $81K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 9,302 | 8,918 | $78K |
17 more codes
| D1120 | Dental cleaning, child | <1% | 2,029 | $48K |
| D0274 | Bitewings - four radiographic images | <1% | 3,980 | $48K |
| D1999 | <1% | 1,845 | $23K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 9,545 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 154 | $13K |
| D4342 | <1% | 656 | $12K | |
| D0270 | <1% | 1,107 | $7K | |
| D1354 | <1% | 922 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 133 | $4K |
| D2331 | <1% | 45 | $3K | |
| D9992 | <1% | 123 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 124 | $2K |
| D1351 | Sealant - per tooth | <1% | 73 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 97 | $980.28 |
| D0603 | 0% | 31 | $0.00 | |
| D1330 | 0% | 38 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 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 officialSHAHBAZIAN, HERMES (CFO)
Parent organization600436519
| Provider | Location | Paid |
|---|---|---|
| International Community Health Services | Seattle, WA | $15.95M |
| International Community Health Services | Seattle, WA | $13.95M |
| International Community Health Services | Shoreline, WA | $11.53M |
| International Community Health Services | Seattle, WA | $2.73M |
| International Community Health Services | Seattle, WA | $1.47M |
| International Community Health Services | Seattle, WA | $1.32M |
| International Community Health Services | Seattle, WA | $996K |
| International Community Health Services | Shoreline, WA | $931K |
| International Community Health Services | Bellevue, WA | $922K |
| International Community Health Services | Seattle, WA | $578K |
| International Community Health Services | Seattle, WA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.