Dental
Aka, Warren
Aka, Warren was paid $1K by Medicaid between Apr 2018 and May 2019, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoAKA, WARREN
SAMMAMISH, WA 98075
SAMMAMISH, WA 98075
33aNPI1538193552assigned 07/10/2006
33bProvider typePediatric Dentist
28Total paid$1K
24GClaims60
24DCodes billed2
24AFirst – last monthApr 2018 – May 2019
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#131 of 156
Median peer was paid$337K
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 | 36 | $648.25 | |
| 2019 | 24 | $473.43 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 36 | 36 | $575.51 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 24 | 24 | $546.17 |
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.