Dental
Large, Kent
Large, Kent was paid $102K by Medicaid between Jul 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoLARGE, KENT
GOLDENDALE, WA 98620
GOLDENDALE, WA 98620
33aNPI1285154435assigned 06/20/2017
33bProvider typeDentist
28Total paid$102K
24GClaims5,129
24DCodes billed13
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#141 of 335
Median peer was paid$30K
This provider vs. median3.3×
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 | 166 | $2K | |
| 2019 | 293 | $5K | |
| 2020 | 112 | $2K | |
| 2021 | 126 | $2K | |
| 2022 | 707 | $12K | |
| 2023 | 1,689 | $38K | |
| 2024incomplete | 2,036 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 802 | 721 | $20K |
| D1206 | Topical application of fluoride varnish | 18% | 1,031 | 925 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 741 | 664 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 260 | 97 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 318 | 269 | $11K |
| D1110 | Prophylaxis - adult | 7.9% | 205 | 179 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 774 | 644 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 78 | 50 | $4K |
| D0272 | Bitewings - two radiographic images | 1.2% | 168 | 127 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 582 | 488 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 92 | 66 | $916.68 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 66 | 62 | $761.99 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $331.20 |
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.