Clinic
Han Dental Clinic LLC
Han Dental Clinic LLC was paid $1.20M by Medicaid between Jul 2019 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoHAN DENTAL CLINIC LLC
BELLEVUE, WA 98006
BELLEVUE, WA 98006
33aNPI1346803491assigned 04/15/2019
33bProvider typeDental Clinic/Center
28Total paid$1.20M
24GClaims40,940
24DCodes billed22
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#56 of 143
Median peer was paid$573K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 2,651 | $50K | |
| 2020 | 4,718 | $65K | |
| 2021 | 4,286 | $104K | |
| 2022 | 9,417 | $285K | |
| 2023 | 10,410 | $325K | |
| 2024incomplete | 9,458 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 4,259 | 4,095 | $224K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 2,956 | 1,336 | $220K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 2,950 | 2,803 | $117K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 1,987 | 850 | $114K |
| D0330 | Panoramic radiographic image | 8.8% | 2,639 | 2,518 | $105K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 4,985 | 4,779 | $98K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 2,785 | 2,713 | $90K |
| D0274 | Bitewings - four radiographic images | 4.8% | 4,223 | 4,064 | $58K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 370 | 208 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 3,927 | 3,704 | $37K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 762 | 728 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 6,673 | 2,840 | $15K |
10 more codes
| D1351 | Sealant - per tooth | 1.1% | 551 | $13K |
| D1999 | <1% | 905 | $11K | |
| D1120 | Dental cleaning, child | <1% | 449 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 159 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 70 | $8K |
| D9630 | <1% | 67 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 89 | $2K |
| D2330 | <1% | 17 | $884.46 | |
| D0273 | <1% | 30 | $385.08 | |
| D9430 | 0% | 87 | $0.00 |
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 officialHAN, DONG WU (OWNER)