Dental
Serenity Dental
Serenity Dental was paid $185K by Medicaid between Jan 2018 and Nov 2018, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 35% of everything it billed.
33Billing provider infoSERENITY DENTAL
VANCOUVER, WA 98661
VANCOUVER, WA 98661
33aNPI1013311729assigned 10/09/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$185K
24GClaims6,913
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#93 of 319
Median peer was paid$22K
This provider vs. median8.6×
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 | 6,913 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 35% | 1,105 | 395 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 797 | 773 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 402 | 248 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 490 | 135 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 7.5% | 544 | 522 | $14K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 702 | 671 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 222 | 147 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 900 | 870 | $6K |
| D1110 | Prophylaxis - adult | 3.2% | 188 | 182 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 391 | 376 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 60 | 51 | $4K |
| D9110 | 1.6% | 74 | 72 | $3K |
6 more codes
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 officialGOVERDHANAM, SUPRIYA (OWNER)