Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Hero Dental of Spokane PC

Hero Dental of Spokane PC was paid $1.00M by Medicaid between Jan 2018 and May 2019, across 37 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.

33Billing provider infoHERO DENTAL OF SPOKANE PC
SPOKANE, WA 99208
33aNPI1598934853assigned 02/20/2008
28Total paid$1.00M
24GClaims59,968
24DCodes billed37
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#52 of 319
Median peer was paid$22K
This provider vs. median46×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201854,105$890K
20195,863$110K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 14% 1,250 484 $145K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 5,838 5,712 $134K
D1206 Topical application of fluoride varnish 9.9% 6,424 6,184 $99K
D1120 Dental cleaning, childProphylaxis - child 8.7% 4,000 3,877 $87K
D1351 Sealant - per tooth 5.8% 3,029 839 $58K
D1110 Prophylaxis - adult 5.0% 1,500 1,459 $50K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.9% 811 555 $49K
D9999 Unspecified adjunctive procedure, by report 4.6% 1,792 1,696 $46K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.1% 2,149 2,029 $41K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.7% 794 553 $37K
D0330 Panoramic radiographic image 3.6% 1,074 1,007 $36K
D2150 Silver amalgam - two surfaces, primary or permanent 3.2% 523 360 $32K
25 more codes
D7140 Extraction, erupted tooth or exposed root 2.9% 560 $29K
D0150 Comprehensive oral evaluation - new or established patient 2.7% 867 $27K
D0272 Bitewings - two radiographic images 2.3% 2,628 $23K
D0220 Intraoral - periapical first radiographic image 2.1% 2,787 $21K
D0274 Bitewings - four radiographic images 1.8% 1,956 $18K
D0230 Intraoral - periapical each additional radiographic image 1.2% 5,336 $12K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 139 $10K
D0240 <1% 1,452 $9K
D0140 Limited oral evaluation - problem focused <1% 488 $9K
D2140 <1% 141 $7K
D2160 <1% 92 $6K
D7111 <1% 150 $4K
D0273 <1% 371 $3K
D9920 <1% 109 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 41 $2K
D2335 <1% 19 $1K
D2332 <1% 18 $1K
D0270 <1% 161 $815.76
D0602 0% 1,873 $0.00
D1330 0% 6,790 $0.00
D0601 0% 1,592 $0.00
D0603 0% 3,114 $0.00
D1353 0% 33 $0.00
D9219 0% 24 $0.00
D0350 0% 43 $0.00

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 officialSOUDER, CHARLOTTE (CREDENTIALING MANAGER)
Same official

Other billing entities under SOUDER, CHARLOTTE

Full network →
ProviderLocationPaid
Hero Dental of Longmont PCLongmont, CO$12.97M
Hero Vision of Utica, LLCTulsa, OK$2.58M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.