Dental
Fillmore, Justin
Fillmore, Justin was paid $998K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoFILLMORE, JUSTIN
YAKIMA, WA 98902
YAKIMA, WA 98902
33aNPI1053651893assigned 02/14/2013
33bProvider typePediatric Dentist
28Total paid$998K
24GClaims33,568
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#56 of 156
Median peer was paid$337K
This provider vs. median3.0×
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 | 4,254 | $120K | |
| 2019 | 5,889 | $166K | |
| 2020 | 4,960 | $150K | |
| 2021 | 5,594 | $166K | |
| 2022 | 4,948 | $143K | |
| 2023 | 4,732 | $147K | |
| 2024incomplete | 3,191 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 5,936 | 5,886 | $514K |
| D1351 | Sealant - per tooth | 16% | 6,158 | 1,146 | $163K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 6,039 | 5,968 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 456 | 435 | $54K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.9% | 931 | 482 | $39K |
| D0272 | Bitewings - two radiographic images | 3.7% | 3,981 | 3,922 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 429 | 192 | $35K |
| D1206 | Topical application of fluoride varnish | 3.2% | 6,298 | 6,220 | $32K |
| D0274 | Bitewings - four radiographic images | 1.7% | 1,386 | 1,375 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 862 | 826 | $13K |
| D0330 | Panoramic radiographic image | 1.2% | 365 | 361 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 91 | 41 | $4K |
7 more codes
| D1110 | Prophylaxis - adult | <1% | 168 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 131 | $2K |
| D2140 | <1% | 68 | $1K | |
| D1999 | <1% | 21 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 215 | $988.81 |
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.