Dental
South Center Pediatric Dentistry and Orthodontics LLC
South Center Pediatric Dentistry and Orthodontics LLC was paid $6.85M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoSOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
TUKWILA, WA 98188
TUKWILA, WA 98188
33aNPI1275996191assigned 03/29/2016
33bProvider typePediatric Dentist
28Total paid$6.85M
24GClaims259,316
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#14 of 156
Median peer was paid$337K
This provider vs. median20×
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 | 23,908 | $427K | |
| 2019 | 37,811 | $743K | |
| 2020 | 37,914 | $685K | |
| 2021 | 33,000 | $669K | |
| 2022 | 43,029 | $1.01M | |
| 2023 | 40,135 | $1.50M | |
| 2024incomplete | 43,519 | $1.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 8,326 | 2,151 | $1.33M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 9,270 | 4,732 | $638K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 22,083 | 21,796 | $579K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 24,175 | 23,863 | $558K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 25,746 | 25,401 | $493K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.3% | 4,188 | 1,309 | $430K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 6,501 | 3,500 | $367K |
| D9630 | 5.0% | 7,802 | 7,684 | $344K | |
| D2390 | 5.0% | 1,203 | 349 | $339K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 4,361 | 2,180 | $244K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 25,554 | 24,880 | $206K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 4,792 | 4,690 | $184K |
18 more codes
| D9999 | Unspecified adjunctive procedure, by report | 2.5% | 5,664 | $168K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 7,612 | $163K |
| D0272 | Bitewings - two radiographic images | 2.4% | 16,556 | $162K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 66,354 | $154K |
| D0330 | Panoramic radiographic image | 2.2% | 4,471 | $149K |
| D1351 | Sealant - per tooth | 1.8% | 5,683 | $120K |
| D1110 | Prophylaxis - adult | 1.1% | 1,934 | $76K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,918 | $61K |
| D1999 | <1% | 2,840 | $38K | |
| D3230 | <1% | 254 | $17K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 191 | $13K |
| D7111 | <1% | 172 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 434 | $5K |
| D2330 | <1% | 19 | $1K | |
| D9920 | <1% | 40 | $898.32 | |
| D1206 | Topical application of fluoride varnish | <1% | 31 | $458.46 |
| D1354 | <1% | 114 | $342.00 | |
| D9996 | <1% | 28 | $289.00 |
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 officialVIRK, MAHADEEP (OWNER OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| North Tacoma Pediatric Dentistry and Orthodontics LLC | Tacoma, WA | $2.46M |
| Covington Orthodontics and Pediatric Dentistry L.L.C. | Covington, WA | $219K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.