Deer Park Dental PLLC

Deer Park Dental PLLC was paid $7K by Medicaid between Nov 2020 and Nov 2021, across 6 billing codes. Its largest line is D9110, — 55% of everything it billed.

33Billing provider infoDEER PARK DENTAL PLLC
DEER PARK, WA 99006

33aNPI1417572892assigned 06/11/2020

33bProvider typeDentist

28Total paid$7K

24GClaims213

24DCodes billed6

24AFirst – last monthNov 2020 – Nov 2021

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#217 of 335

Median peer was paid$30K

This provider vs. median0.2×

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
2020	29	$230.00
2021	184	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9110		55%	56	48	$4K
D0150	Comprehensive oral evaluation - new or established patient	19%	34	31	$1K
D0140	Limited oral evaluation - problem focused	17%	38	33	$1K
D0220	Intraoral - periapical first radiographic image	6.4%	42	37	$455.68
D1999		3.2%	29	19	$230.00
D0230	Intraoral - periapical each additional radiographic image	<1%	14	13	$35.52

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 officialMONTANO, SANDY (OWNER)