Clinic
Northwest Smile Dental and Denture
Northwest Smile Dental and Denture was paid $874K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 40% of everything it billed.
33Billing provider infoNORTHWEST SMILE DENTAL AND DENTURE
OLYMPIA, WA 98516
OLYMPIA, WA 98516
33aNPI1083168512assigned 08/12/2016
33bProvider typeDental Clinic/Center
28Total paid$874K
24GClaims18,258
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#65 of 143
Median peer was paid$573K
This provider vs. median1.5×
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 | 1,503 | $36K | |
| 2019 | 1,648 | $39K | |
| 2020 | 1,531 | $40K | |
| 2021 | 1,498 | $42K | |
| 2022 | 2,635 | $146K | |
| 2023 | 4,757 | $289K | |
| 2024incomplete | 4,686 | $282K |
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 | 40% | 3,056 | 481 | $349K |
| D9110 | 15% | 2,043 | 1,823 | $127K | |
| D1110 | Prophylaxis - adult | 7.6% | 1,520 | 1,429 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,862 | 1,733 | $65K |
| D0330 | Panoramic radiographic image | 5.6% | 1,497 | 1,402 | $49K |
| D7530 | 5.0% | 330 | 307 | $43K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 1,647 | 1,558 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 339 | 138 | $27K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 874 | 803 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 549 | 233 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 291 | 134 | $21K |
| D0274 | Bitewings - four radiographic images | 1.9% | 1,565 | 1,485 | $17K |
4 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 officialBEALE, YOUNI (DENTURIST)