Clinic
Stacey Kutsch, D.D.S., M.S., PLLC
Stacey Kutsch, D.D.S., M.S., PLLC was paid $1.43M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoSTACEY KUTSCH, D.D.S., M.S., PLLC
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1629491766assigned 01/25/2014
33bProvider typeDental Clinic/Center
28Total paid$1.43M
24GClaims62,396
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#53 of 143
Median peer was paid$573K
This provider vs. median2.5×
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 | 14,678 | $335K | |
| 2019 | 13,925 | $331K | |
| 2020 | 11,600 | $247K | |
| 2021 | 7,375 | $153K | |
| 2022 | 5,159 | $101K | |
| 2023 | 5,038 | $136K | |
| 2024incomplete | 4,621 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 9,048 | 9,041 | $245K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 9,858 | 9,850 | $233K |
| D1206 | Topical application of fluoride varnish | 14% | 10,282 | 10,273 | $206K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,390 | 923 | $170K |
| D9999 | Unspecified adjunctive procedure, by report | 11% | 5,208 | 5,201 | $156K |
| D1351 | Sealant - per tooth | 6.7% | 4,337 | 1,037 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 1,084 | 1,084 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 795 | 401 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 1,973 | 1,919 | $40K |
| D0330 | Panoramic radiographic image | 2.5% | 865 | 865 | $36K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 166 | 56 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 2,951 | 2,932 | $24K |
10 more codes
| D0272 | Bitewings - two radiographic images | 1.6% | 2,263 | $23K |
| D1999 | 1.5% | 1,619 | $22K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 8,036 | $19K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 786 | $16K |
| D1110 | Prophylaxis - adult | <1% | 264 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 164 | $9K |
| D9920 | <1% | 115 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 155 | $2K |
| D2332 | <1% | 24 | $2K | |
| D9248 | <1% | 13 | $618.80 |
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 officialKUTSCH, STACEY (OWNER PEDIATRIC DENTIST)