Dental
Evergreen Dental Corporation
Evergreen Dental Corporation was paid $306K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 66% of everything it billed.
33Billing provider infoEVERGREEN DENTAL CORPORATION
EVERETT, WA 98208
EVERETT, WA 98208
33aNPI1235177734assigned 06/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$306K
24GClaims10,267
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#78 of 319
Median peer was paid$22K
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 | 3,460 | $68K | |
| 2019 | 1,768 | $43K | |
| 2020 | 1,318 | $33K | |
| 2021 | 1,135 | $40K | |
| 2022 | 833 | $39K | |
| 2023 | 822 | $38K | |
| 2024incomplete | 931 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 66% | 2,777 | 812 | $202K |
| D0140 | Limited oral evaluation - problem focused | 16% | 2,236 | 1,919 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 1,828 | 1,664 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 696 | 679 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 442 | 430 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 1,806 | 1,010 | $9K |
| D1110 | Prophylaxis - adult | 1.4% | 134 | 128 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 156 | 151 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 120 | 115 | $2K |
| D0330 | Panoramic radiographic image | <1% | 42 | 41 | $989.69 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 30 | 28 | $960.52 |
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 officialDANG, T. (PRESIDENT)