Dental
A Street Dental Clinic
A Street Dental Clinic was paid $933K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoA STREET DENTAL CLINIC
AUBURN, WA 98002
AUBURN, WA 98002
33aNPI1083799068assigned 10/26/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$933K
24GClaims43,824
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#56 of 319
Median peer was paid$22K
This provider vs. median43×
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 | 7,408 | $154K | |
| 2019 | 8,682 | $161K | |
| 2020 | 5,468 | $112K | |
| 2021 | 6,515 | $129K | |
| 2022 | 5,720 | $113K | |
| 2023 | 5,818 | $163K | |
| 2024incomplete | 4,213 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 6,164 | 5,831 | $146K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 2,882 | 1,000 | $141K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 7,683 | 7,054 | $122K |
| D1110 | Prophylaxis - adult | 12% | 3,236 | 2,998 | $113K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 4,536 | 4,146 | $95K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.4% | 1,486 | 534 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 649 | 280 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 1,497 | 1,220 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 4,954 | 4,370 | $36K |
| D0274 | Bitewings - four radiographic images | 2.9% | 2,054 | 1,859 | $27K |
| D0272 | Bitewings - two radiographic images | 2.0% | 2,035 | 1,834 | $19K |
| D9999 | Unspecified adjunctive procedure, by report | 1.7% | 707 | 627 | $16K |
8 more codes
| D2140 | 1.4% | 289 | $13K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 579 | $12K |
| D1351 | Sealant - per tooth | 1.2% | 567 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,335 | $9K |
| D2160 | <1% | 43 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 45 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 68 | $1K |
| D9920 | <1% | 15 | $365.27 |
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 officialLEUNG, KEVIN (PRACTICE OWNER/DENTIST)