Clinic
Green Dentistry
Green Dentistry was paid $20K by Medicaid between Dec 2018 and Aug 2019, across 10 billing codes. Its largest line is D0330, Panoramic radiographic image — 19% of everything it billed.
33Billing provider infoGREEN DENTISTRY
DES MOINES, WA 98198
DES MOINES, WA 98198
33aNPI1376028589assigned 10/03/2018
33bProvider typeDental Clinic/Center
28Total paid$20K
24GClaims1,557
24DCodes billed10
24AFirst – last monthDec 2018 – Aug 2019
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#119 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 | 123 | $1K | |
| 2019 | 1,434 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 19% | 121 | 105 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 199 | 179 | $4K |
| D1351 | Sealant - per tooth | 14% | 167 | 30 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 245 | 222 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 85 | 79 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.2% | 32 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 212 | 184 | $1K |
| D1110 | Prophylaxis - adult | 6.4% | 47 | 38 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 416 | 175 | $834.63 |
| D0272 | Bitewings - two radiographic images | 1.6% | 33 | 30 | $308.70 |
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 officialMATTU, AMRITPAL (DENTIST)