Dental
North Lakewood Dental PLCC
North Lakewood Dental PLCC was paid $30K by Medicaid between Oct 2018 and Dec 2019, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoNORTH LAKEWOOD DENTAL PLCC
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
33aNPI1154617942assigned 06/21/2011
33bProvider typeDentist
28Total paid$30K
24GClaims2,058
24DCodes billed11
24AFirst – last monthOct 2018 – Dec 2019
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#170 of 335
Median peer was paid$30K
This provider vs. median1.0×
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 | 273 | $1K | |
| 2019 | 1,785 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 320 | 258 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 411 | 350 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 299 | 276 | $5K |
| D0274 | Bitewings - four radiographic images | 6.3% | 180 | 159 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 47 | 16 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 283 | 233 | $2K |
| D1351 | Sealant - per tooth | 4.1% | 64 | 18 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 56 | 56 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 51 | 45 | $940.00 |
| D1110 | Prophylaxis - adult | 2.9% | 34 | 30 | $870.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 313 | 192 | $779.73 |
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 |
| Lake Meridian Dental LLC | Kent, WA | $435K |
| Puyallup Dental, LLC | Puyallup, WA | $84K |
| 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.