Dental
Mercer Island Pediatric Dentistry
Mercer Island Pediatric Dentistry was paid $156K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoMERCER ISLAND PEDIATRIC DENTISTRY
MERCER ISLAND, WA 98040
MERCER ISLAND, WA 98040
33aNPI1356779680assigned 10/23/2013
33bProvider typePediatric Dentist
28Total paid$156K
24GClaims8,154
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#93 of 156
Median peer was paid$337K
This provider vs. median0.5×
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 | 1,358 | $24K | |
| 2019 | 1,349 | $25K | |
| 2020 | 1,637 | $27K | |
| 2021 | 1,789 | $33K | |
| 2022 | 313 | $7K | |
| 2023 | 704 | $16K | |
| 2024incomplete | 1,004 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 1,885 | 1,838 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 2,074 | 1,990 | $44K |
| D1206 | Topical application of fluoride varnish | 26% | 2,257 | 2,165 | $41K |
| D0272 | Bitewings - two radiographic images | 5.3% | 897 | 843 | $8K |
| D1351 | Sealant - per tooth | 4.7% | 362 | 73 | $7K |
| D9999 | Unspecified adjunctive procedure, by report | 2.8% | 166 | 162 | $4K |
| D1999 | 2.3% | 362 | 286 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 79 | 68 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 29 | 26 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 26 | $210.82 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15 | 13 | $28.44 |
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 officialVU, VICTORIA (DENTIST)