Dental
Basic Dental Care of Walla Walla
Basic Dental Care of Walla Walla was paid $184K by Medicaid between Jun 2019 and Sep 2021, across 18 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.
33Billing provider infoBASIC DENTAL CARE OF WALLA WALLA
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1578889739assigned 04/13/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$184K
24GClaims10,355
24DCodes billed18
24AFirst – last monthJun 2019 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#94 of 319
Median peer was paid$22K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2019 | 2,515 | $36K | |
| 2020 | 3,559 | $66K | |
| 2021 | 4,281 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 18% | 930 | 326 | $33K |
| D0140 | Limited oral evaluation - problem focused | 17% | 1,767 | 1,549 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 571 | 301 | $28K |
| D1110 | Prophylaxis - adult | 11% | 675 | 643 | $20K |
| D0330 | Panoramic radiographic image | 9.4% | 813 | 760 | $17K |
| D1206 | Topical application of fluoride varnish | 4.8% | 747 | 699 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 1,311 | 1,171 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.1% | 111 | 77 | $8K |
| D0274 | Bitewings - four radiographic images | 4.0% | 780 | 729 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 189 | 99 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 249 | 217 | $5K |
| D1999 | 1.6% | 323 | 241 | $3K |
6 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,620 | $2K |
| D0120 | Dental checkup, returning patient | 1.2% | 122 | $2K |
| D1120 | Dental cleaning, child | <1% | 91 | $2K |
| D2331 | <1% | 30 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | $282.04 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $101.64 |
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 officialLAIZURE, DANIS (OWNER)