Dental
PSPD - Lake Stevens PLLC
PSPD - Lake Stevens PLLC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoPSPD - LAKE STEVENS PLLC
LAKE STEVENS, WA 98258
LAKE STEVENS, WA 98258
33aNPI1154675064assigned 10/30/2012
33bProvider typePediatric Dentist
28Total paid$1.64M
24GClaims83,550
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#46 of 156
Median peer was paid$337K
This provider vs. median4.9×
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 | 8,754 | $160K | |
| 2019 | 9,757 | $171K | |
| 2020 | 10,906 | $179K | |
| 2021 | 11,337 | $196K | |
| 2022 | 13,633 | $243K | |
| 2023 | 15,476 | $365K | |
| 2024incomplete | 13,687 | $329K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 16,231 | 15,970 | $439K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 15,793 | 15,538 | $375K |
| D1206 | Topical application of fluoride varnish | 21% | 17,072 | 16,784 | $339K |
| D9999 | Unspecified adjunctive procedure, by report | 6.3% | 3,414 | 3,353 | $104K |
| D1110 | Prophylaxis - adult | 4.8% | 1,883 | 1,846 | $78K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 9,267 | 9,054 | $75K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,358 | 1,328 | $53K |
| D0272 | Bitewings - two radiographic images | 3.0% | 4,955 | 4,871 | $50K |
| D1999 | 1.4% | 2,005 | 1,945 | $23K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 8,117 | 7,770 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 808 | 753 | $19K |
| D9630 | 1.1% | 421 | 394 | $18K |
6 more codes
| D1351 | Sealant - per tooth | 1.1% | 727 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 932 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 403 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 81 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 68 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | $1K |
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 officialKNIGHT, JESSICA (ACCOUNT RECEIVABLE MANAGER)
Parent organizationLUGO DMD MARYSVILLE PS
| Provider | Location | Paid |
|---|---|---|
| PSPD - Monroe, PLLC | Monroe, WA | $3.49M |
| PSPD - Marysville, PLLC | Marysville, WA | $2.95M |
| PSPD - Stanwood, PLLC | Stanwood, WA | $958K |
| PSPD - Everett, PLLC | Everett, WA | $258K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.