Dental
Little Big Kids Pediatric Dentistry
Little Big Kids Pediatric Dentistry was paid $763K by Medicaid between Feb 2020 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoLITTLE BIG KIDS PEDIATRIC DENTISTRY
ELLENSBURG, WA 98926
ELLENSBURG, WA 98926
33aNPI1578109575assigned 11/25/2019
33bProvider typePediatric Dentist
28Total paid$763K
24GClaims28,540
24DCodes billed23
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#64 of 156
Median peer was paid$337K
This provider vs. median2.3×
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 | 411 | $8K | |
| 2021 | 3,154 | $77K | |
| 2022 | 8,032 | $187K | |
| 2023 | 8,684 | $242K | |
| 2024incomplete | 8,259 | $249K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,297 | 3,288 | $106K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 4,147 | 4,128 | $106K |
| D1206 | Topical application of fluoride varnish | 13% | 4,476 | 4,432 | $103K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,108 | 563 | $82K |
| D1351 | Sealant - per tooth | 8.9% | 2,831 | 601 | $68K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 1,004 | 427 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 1,291 | 1,277 | $50K |
| D9999 | Unspecified adjunctive procedure, by report | 5.0% | 1,187 | 1,177 | $38K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 1,416 | 1,318 | $33K |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,677 | 2,652 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 124 | 26 | $21K |
| D0330 | Panoramic radiographic image | 2.7% | 512 | 509 | $21K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,246 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 373 | $9K |
| D1110 | Prophylaxis - adult | 1.0% | 166 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 463 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 72 | $4K |
| D0240 | <1% | 477 | $4K | |
| D9248 | <1% | 57 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,446 | $3K |
| D9630 | <1% | 46 | $2K | |
| D1999 | <1% | 111 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $1K |
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 officialCOX, STANLEY (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Moses Lake Pediatric Dentistry | Moses Lake, WA | $9.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.