Dental
Federal Way Dental LLC
Federal Way Dental LLC was paid $211K by Medicaid between Jan 2018 and May 2019, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoFEDERAL WAY DENTAL LLC
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1619308137assigned 12/09/2013
33bProvider typeDentist
28Total paid$211K
24GClaims11,475
24DCodes billed15
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#123 of 335
Median peer was paid$30K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2018 | 8,314 | $151K | |
| 2019 | 3,161 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,250 | 1,207 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 612 | 280 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,286 | 1,259 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,849 | 1,781 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 917 | 841 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 374 | 125 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 473 | 439 | $11K |
| D0274 | Bitewings - four radiographic images | 4.5% | 1,146 | 1,112 | $9K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 528 | 505 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 1,300 | 1,236 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 403 | 384 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 82 | 50 | $5K |
3 more codes
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 officialLILLY, NANDITA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Little Pearls Bothell LLC | Bothell, WA | $577K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.