Dental
Pomeroy Dental Center
Pomeroy Dental Center was paid $1K by Medicaid between Mar 2022 and Sep 2022, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 61% of everything it billed.
33Billing provider infoPOMEROY DENTAL CENTER
POMEROY, WA 99347
POMEROY, WA 99347
33aNPI1245770353assigned 03/08/2017
33bProvider typeDentist
28Total paid$1K
24GClaims60
24DCodes billed2
24AFirst – last monthMar 2022 – Sep 2022
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#257 of 335
Median peer was paid$30K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 60 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 61% | 29 | 28 | $643.44 |
| D1206 | Topical application of fluoride varnish | 39% | 31 | 29 | $404.57 |
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 officialWILSON, DAN (OWNER)