WASHINGTON DENTAL SERVICE
NPI: 1154631117
· SEATTLE, WA 98115
· General Practice Dentistry
· NPI assigned 10/08/2010
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SMITH, LAURA controls 11+ related entities in our dataset. Read more
$256K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, LAURA (CEO) |
| NPI Enumeration Date | 10/08/2010 |
Related Entities
Other providers sharing the same authorized official: SMITH, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,122 |
$56K |
| 2019 |
6,461 |
$50K |
| 2020 |
1,575 |
$16K |
| 2021 |
3,326 |
$31K |
| 2022 |
3,617 |
$32K |
| 2023 |
3,686 |
$42K |
| 2024 |
2,827 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
6,976 |
5,635 |
$110K |
| D1206 |
Topical application of fluoride varnish |
5,923 |
4,532 |
$73K |
| D1351 |
Sealant - per tooth |
4,087 |
618 |
$26K |
| D1330 |
|
4,257 |
3,455 |
$14K |
| D1120 |
Prophylaxis - child |
815 |
728 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
229 |
98 |
$7K |
| D1110 |
Prophylaxis - adult |
317 |
272 |
$7K |
| D1999 |
|
383 |
260 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
45 |
28 |
$2K |
| D0274 |
Bitewings - four radiographic images |
164 |
132 |
$1K |
| D0190 |
|
109 |
97 |
$928.20 |
| D9110 |
|
21 |
14 |
$569.50 |
| D1354 |
|
167 |
28 |
$495.00 |
| D0272 |
Bitewings - two radiographic images |
51 |
47 |
$315.14 |
| D0603 |
|
1,112 |
943 |
$0.00 |
| D9992 |
|
1,230 |
962 |
$0.00 |
| D0601 |
|
698 |
553 |
$0.00 |
| D0602 |
|
30 |
27 |
$0.00 |