Mydentist Dental Center

Mydentist Dental Center was paid $8K by Medicaid between Jan 2018 and May 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.

33Billing provider infoMYDENTIST DENTAL CENTER
RENTON, WA 98057

33aNPI1336441617assigned 11/19/2010

33bProvider typeDental Clinic/Center

28Total paid$8K

24GClaims399

24DCodes billed4

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Dental Clinic/Center providers in Washington

Rank by total paid#127 of 143

Median peer was paid$573K

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
2018	336	$7K
2019	63	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	47%	165	165	$4K
D1120	Dental cleaning, childProphylaxis - child	30%	105	105	$2K
D1208	Topical application of fluoride, excluding varnish	22%	117	116	$2K
D0272	Bitewings - two radiographic images	1.4%	12	12	$113.19

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 officialPOLOTANU, ANTONELA (DENTIST)