Clinic
Marysville Kids Dentistry
Marysville Kids Dentistry was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoMARYSVILLE KIDS DENTISTRY
MARYSVILLE, WA 98270
MARYSVILLE, WA 98270
33aNPI1639602444assigned 04/07/2017
33bProvider typeDental Clinic/Center
28Total paid$2.41M
24GClaims70,012
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#42 of 143
Median peer was paid$573K
This provider vs. median4.2×
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 | 5,925 | $160K | |
| 2019 | 8,946 | $258K | |
| 2020 | 10,051 | $295K | |
| 2021 | 11,993 | $381K | |
| 2022 | 10,079 | $295K | |
| 2023 | 10,432 | $450K | |
| 2024incomplete | 12,586 | $567K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 2,400 | 705 | $405K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,255 | 1,564 | $302K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 8,033 | 7,985 | $187K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 3,284 | 1,227 | $184K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 5,955 | 5,933 | $177K |
| D1206 | Topical application of fluoride varnish | 7.2% | 8,020 | 7,939 | $174K |
| D9999 | Unspecified adjunctive procedure, by report | 4.8% | 3,718 | 3,690 | $115K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 2,594 | 2,563 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 1,755 | 813 | $99K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 4,506 | 4,359 | $96K |
| D7240 | Removal of impacted tooth - completely bony | 3.8% | 619 | 177 | $92K |
| D1351 | Sealant - per tooth | 3.4% | 3,576 | 961 | $82K |
20 more codes
| D9920 | 2.4% | 1,869 | $57K | |
| D7961 | 2.2% | 551 | $53K | |
| D9630 | 2.2% | 1,188 | $53K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 2,381 | $51K |
| D7962 | 1.6% | 413 | $39K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 4,199 | $34K |
| D0272 | Bitewings - two radiographic images | <1% | 2,039 | $21K |
| D1999 | <1% | 1,378 | $17K | |
| D7960 | <1% | 173 | $16K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,569 | $15K |
| D2390 | <1% | 46 | $13K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 93 | $7K |
| D7230 | <1% | 36 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 77 | $3K |
| D2332 | <1% | 18 | $1K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 19 | $1K |
| D9248 | <1% | 12 | $840.00 | |
| D1354 | <1% | 192 | $732.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 31 | $420.84 |
| D1110 | Prophylaxis - adult | <1% | 13 | $398.75 |
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 officialCHIM, AMELIA (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Plateau Kids Dentistry, LLC | Sammamish, WA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.