Dental
Lake Meridian Dental LLC
Lake Meridian Dental LLC was paid $435K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoLAKE MERIDIAN DENTAL LLC
KENT, WA 98030
KENT, WA 98030
33aNPI1093110215assigned 10/30/2014
33bProvider typeDentist
28Total paid$435K
24GClaims17,807
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#98 of 335
Median peer was paid$30K
This provider vs. median14×
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 | 9,718 | $199K | |
| 2019 | 4,388 | $91K | |
| 2023 | 1,771 | $78K | |
| 2024incomplete | 1,930 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 2,011 | 994 | $115K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 2,140 | 1,966 | $67K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 804 | 498 | $52K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 1,408 | 1,300 | $45K |
| D1110 | Prophylaxis - adult | 9.5% | 1,185 | 1,111 | $41K |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 1,078 | 1,010 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 1,523 | 1,429 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 468 | 273 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 2,550 | 2,378 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 593 | 571 | $12K |
| D0274 | Bitewings - four radiographic images | 2.5% | 1,102 | 1,050 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 2,751 | 1,397 | $5K |
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 officialPROBST, TRAVIS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Bonney Lake Dental LLC | Bonney Lake, WA | $4.81M |
| Fairwood Pedodonticsllc | Renton, WA | $1.33M |
| Fairwood Dental LLC | Renton, WA | $1.20M |
| Puyallup Dental, LLC | Puyallup, WA | $84K |
| North Lakewood Dental PLCC | Lakewood, WA | $30K |
| Port Orchard Dental LLC | Port Orchard, WA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.