Clinic
Pacific Dental & Denture Clinic,inc
Pacific Dental & Denture Clinic,inc was paid $11K by Medicaid between Feb 2018 and Sep 2020, across 4 billing codes. Its largest line is D5110, — 44% of everything it billed.
33Billing provider infoPACIFIC DENTAL & DENTURE CLINIC,INC
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1619411568assigned 12/12/2016
33bProvider typeDental Clinic/Center
28Total paid$11K
24GClaims217
24DCodes billed4
24AFirst – last monthFeb 2018 – Sep 2020
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#125 of 143
Median peer was paid$573K
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 | |
|---|---|---|---|
| 2018 | 68 | $419.04 | |
| 2019 | 65 | $9K | |
| 2020 | 84 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D5110 | 44% | 15 | 15 | $5K | |
| D5120 | 40% | 12 | 12 | $4K | |
| D1999 | 9.0% | 71 | 63 | $960.00 | |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 119 | 116 | $711.80 |
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 officialJUNG, DUSIK (OWNER/DENTURIST)