Dental
PSPD - Marysville, PLLC
PSPD - Marysville, PLLC was paid $2.95M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoPSPD - MARYSVILLE, PLLC
MARYSVILLE, WA 98270
MARYSVILLE, WA 98270
33aNPI1336427897assigned 08/01/2011
33bProvider typePediatric Dentist
28Total paid$2.95M
24GClaims149,752
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#33 of 156
Median peer was paid$337K
This provider vs. median8.7×
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 | 19,168 | $343K | |
| 2019 | 19,162 | $350K | |
| 2020 | 19,389 | $325K | |
| 2021 | 21,793 | $406K | |
| 2022 | 22,871 | $404K | |
| 2023 | 25,207 | $580K | |
| 2024incomplete | 22,162 | $543K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 27,699 | 27,309 | $738K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 26,250 | 25,901 | $622K |
| D1206 | Topical application of fluoride varnish | 19% | 28,256 | 27,858 | $551K |
| D9999 | Unspecified adjunctive procedure, by report | 5.9% | 6,121 | 6,041 | $176K |
| D1110 | Prophylaxis - adult | 4.9% | 3,603 | 3,539 | $145K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 15,968 | 15,628 | $129K |
| D0272 | Bitewings - two radiographic images | 3.1% | 9,025 | 8,857 | $90K |
| D0330 | Panoramic radiographic image | 2.8% | 2,112 | 2,089 | $81K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 1,671 | 1,651 | $64K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 2,946 | 2,831 | $62K |
| D9630 | 1.9% | 1,373 | 1,257 | $57K | |
| D1351 | Sealant - per tooth | 1.6% | 1,937 | 443 | $48K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 2,007 | $44K |
| D1999 | 1.3% | 3,291 | $38K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 14,310 | $34K |
| D0274 | Bitewings - four radiographic images | 1.1% | 2,162 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 483 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 120 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 51 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 52 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $899.46 |
| D1354 | <1% | 295 | $885.00 |
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 officialKNIGHT, JESSICA (ACCOUNT RECEIVABLES MANAGER)
Parent organizationLUGO DMD MARYSVILLE PS
| Provider | Location | Paid |
|---|---|---|
| PSPD - Monroe, PLLC | Monroe, WA | $3.49M |
| PSPD - Lake Stevens PLLC | Lake Stevens, WA | $1.64M |
| PSPD - Stanwood, PLLC | Stanwood, WA | $958K |
| PSPD - Everett, PLLC | Everett, WA | $258K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.