SEA MAR COMMUNITY HEALTH CENTERS

NPI: 1598813818 · OAK HARBOR, WA 98277 · Dentist · NPI assigned 01/05/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more

$3.13M

Total Medicaid Paid

58,159

Total Claims

47,602

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	BARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date	01/05/2007

Other providers sharing the same authorized official: BARTOLO, MARY

Provider	City	State	Total Paid
SEA-MAR COMMUNITY HEALTH CENTER	SEATTLE	WA	$42.52M
SEA MAR COMMUNITY HEALTH CENTERS	SEATTLE	WA	$12.11M
SEA MAR COMMUNITY HEALTH CENTERS	VANCOUVER	WA	$9.33M
SEA MAR COMMUNITY HEALTH CENTERS	MOUNT VERNON	WA	$8.71M
SEA MAR COMMUNITY HEALTH CENTERS	BELLINGHAM	WA	$8.66M
SEA MAR COMMUNITY HEALTH CENTERS	BELLEVUE	WA	$8.62M
SEA MAR COMMUNITY HEALTH CENTERS	PUYALLUP	WA	$7.82M
SEA MAR COMMUNITY HEALTH CENTERS	SEATTLE	WA	$6.99M
SEA MAR COMMUNITY HEALTH CENTERS	TACOMA	WA	$6.75M
SEA MAR COMMUNITY HEALTH CENTERS	MARYSVILLE	WA	$6.52M
SEA MAR COMMUNITY HEALTH CENTERS	ABERDEEN	WA	$5.02M
SEA MAR COMMUNITY HEALTH CENTERS	BELLINGHAM	WA	$4.79M
SEA MAR COMMUNITY HEALTH CENTERS	SEATAC	WA	$4.22M
SEA MAR COMMUNITY HEALTH CENTERS	TACOMA	WA	$4.13M
SEA MAR COMMUNITY HEALTH CENTERS	VANCOUVER	WA	$3.89M
SEA MAR COMMUNITY HEALTH CENTERS	ELMA	WA	$3.53M
SEA MAR COMMUNITY HEALTH CENTERS	OLYMPIA	WA	$3.37M
SEA MAR COMMUNITY HEALTH CENTERS	BATTLE GROUND	WA	$2.77M
SEA MAR COMMUNITY HEALTH CENTERS	MARYSVILLE	WA	$1.79M
SEA MAR COMMUNITY HEALTH CENTERS	BURIEN	WA	$1.32M

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	18,806	15,835	$2.21M
D1110	Prophylaxis - adult	3,109	3,081	$144K
D7140	Extraction, erupted tooth or exposed root	2,791	1,559	$115K
D0140	Limited oral evaluation - problem focused	4,092	3,949	$101K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,664	1,147	$87K
D0150	Comprehensive oral evaluation - new or established patient	1,917	1,895	$70K
D0210	Intraoral - complete series of radiographic images	1,907	1,894	$70K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	968	857	$64K
D0120	Periodic oral evaluation - established patient	2,155	2,137	$62K
D1206	Topical application of fluoride varnish	2,732	2,706	$51K
D0220	Intraoral - periapical first radiographic image	4,978	4,827	$42K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	184	175	$19K
D0330	Panoramic radiographic image	858	848	$19K
D0274	Bitewings - four radiographic images	1,372	1,352	$14K
D0270		3,857	1,971	$12K
D2394		98	94	$11K
D1999		881	741	$11K
D0230	Intraoral - periapical each additional radiographic image	4,898	1,824	$10K
D2330		95	64	$5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	44	42	$4K
D1208	Topical application of fluoride, excluding varnish	192	188	$3K
D1351	Sealant - per tooth	61	14	$769.30
D9992		47	32	$495.00
D1120	Prophylaxis - child	12	12	$275.76
D0272	Bitewings - two radiographic images	95	24	$173.29
D0603		72	70	$0.00
D0602		274	264	$0.00