Dental
Lakeside Dental
Lakeside Dental was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoLAKESIDE DENTAL
MOSES LAKE, WA 98837
MOSES LAKE, WA 98837
33aNPI1447407739assigned 08/19/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.67M
24GClaims66,695
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#35 of 319
Median peer was paid$22K
This provider vs. median77×
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 | 9,305 | $190K | |
| 2019 | 10,230 | $218K | |
| 2020 | 8,820 | $178K | |
| 2021 | 9,204 | $224K | |
| 2022 | 10,444 | $295K | |
| 2023 | 10,166 | $307K | |
| 2024incomplete | 8,526 | $262K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 4,363 | 2,120 | $280K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 10,985 | 10,661 | $275K |
| D1110 | Prophylaxis - adult | 16% | 6,447 | 6,183 | $269K |
| D1206 | Topical application of fluoride varnish | 11% | 10,757 | 10,334 | $188K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 6,450 | 6,211 | $144K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 2,139 | 1,234 | $106K |
| D0330 | Panoramic radiographic image | 5.8% | 2,841 | 2,679 | $96K |
| D0274 | Bitewings - four radiographic images | 4.4% | 5,522 | 5,254 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,888 | 1,718 | $72K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 4,809 | 4,526 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 1,852 | 1,785 | $25K |
| D0272 | Bitewings - two radiographic images | 1.4% | 2,400 | 2,300 | $23K |
9 more codes
| D1999 | 1.1% | 2,056 | $19K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 671 | $15K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 449 | $12K |
| D1351 | Sealant - per tooth | <1% | 434 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 73 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 330 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,171 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 46 | $4K |
| D9310 | 0% | 12 | $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 officialMUNSON, LORI (OFFICE MANAGER)