Dental
Westside Smile Dental LLC
Westside Smile Dental LLC was paid $303.79 by Medicaid between Apr 2019 and Apr 2019, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 51% of everything it billed.
33Billing provider infoWESTSIDE SMILE DENTAL LLC
SEATTLE, WA 98106
SEATTLE, WA 98106
33aNPI1588805626assigned 03/19/2009
33bProvider typeDenturist
28Total paid$303.79
24GClaims52
24DCodes billed3
24AFirst – last monthApr 2019 – Apr 2019
Compared with peers
Next to other Denturist providers in Washington
Rank by total paid#53 of 55
Median peer was paid$125K
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 | |
|---|---|---|---|
| 2019 | 52 | $303.79 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 51% | 12 | 12 | $153.42 |
| D0220 | Intraoral - periapical first radiographic image | 35% | 15 | 14 | $106.96 |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 25 | 14 | $43.41 |
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 officialVONG, PHONG (DENTURIST)