Clinic
Sedro Woolley Family Dental Center, P.S.
Sedro Woolley Family Dental Center, P.S. was paid $54K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoSEDRO WOOLLEY FAMILY DENTAL CENTER, P.S.
SEDRO WOOLLEY, WA 98284
SEDRO WOOLLEY, WA 98284
33aNPI1184963845assigned 01/31/2013
33bProvider typeDental Clinic/Center
28Total paid$54K
24GClaims2,798
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#111 of 143
Median peer was paid$573K
This provider vs. median0.1×
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 | 616 | $11K | |
| 2019 | 867 | $15K | |
| 2020 | 359 | $7K | |
| 2021 | 242 | $4K | |
| 2022 | 237 | $5K | |
| 2023 | 352 | $9K | |
| 2024incomplete | 125 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 1,086 | 1,032 | $23K |
| D1110 | Prophylaxis - adult | 16% | 281 | 259 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 673 | 635 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 389 | 364 | $8K |
| D1206 | Topical application of fluoride varnish | 6.2% | 186 | 164 | $3K |
| D0274 | Bitewings - four radiographic images | 2.4% | 105 | 92 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 65 | 64 | $637.98 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $403.68 |
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 officialGRUENER, HANSROLF (OWNER)