Clinic
Lower Elwha Klallam Tribe Dental Clinic
Lower Elwha Klallam Tribe Dental Clinic was paid $4.88M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoLOWER ELWHA KLALLAM TRIBE DENTAL CLINIC
PORT ANGELES, WA 98363
PORT ANGELES, WA 98363
33aNPI1023134988assigned 03/22/2007
33bProvider typeDental Clinic/Center
28Total paid$4.88M
24GClaims25,536
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#21 of 143
Median peer was paid$573K
This provider vs. median8.5×
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 | 3,050 | $574K | |
| 2019 | 4,268 | $614K | |
| 2020 | 4,188 | $531K | |
| 2021 | 4,601 | $614K | |
| 2022 | 3,177 | $794K | |
| 2023 | 3,774 | $920K | |
| 2024incomplete | 2,478 | $833K |
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 | 95% | 11,286 | 8,441 | $4.64M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,840 | 1,772 | $46K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,937 | 1,714 | $41K |
| D1206 | Topical application of fluoride varnish | <1% | 2,418 | 2,286 | $37K |
| D1351 | Sealant - per tooth | <1% | 2,833 | 581 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 951 | 885 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 303 | 233 | $15K |
| D0330 | Panoramic radiographic image | <1% | 397 | 381 | $12K |
| D1110 | Prophylaxis - adult | <1% | 366 | 346 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 333 | 314 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 216 | 150 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 879 | 793 | $8K |
9 more codes
| D0274 | Bitewings - four radiographic images | <1% | 496 | $6K |
| D4910 | <1% | 131 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 145 | $1K |
| D1354 | <1% | 483 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 82 | $708.75 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 149 | $264.42 |
| D1330 | 0% | 209 | $0.00 | |
| D0603 | 0% | 60 | $0.00 | |
| D0190 | 0% | 22 | $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 officialCHARLES, FRANCES (CHAIRWOMAN)
| Provider | Location | Paid |
|---|---|---|
| Lower Elwha Klallam Tribe | Port Angeles, WA | $10.65M |
| Lower Elwha Klallam Tribe | Port Angeles, WA | $9.96M |
| Lower Elwha Klallam Tribe | Port Angeles, WA | $5.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.