Dental
Southcenter Children's Dentistry
Southcenter Children's Dentistry was paid $2.30M by Medicaid between Aug 2019 and Dec 2024, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoSOUTHCENTER CHILDREN'S DENTISTRY
TUKWILA, WA 98188
TUKWILA, WA 98188
33aNPI1639736119assigned 05/21/2019
33bProvider typePediatric Dentist
28Total paid$2.30M
24GClaims121,884
24DCodes billed25
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#43 of 156
Median peer was paid$337K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2019 | 8,532 | $148K | |
| 2020 | 25,964 | $583K | |
| 2021 | 31,549 | $564K | |
| 2022 | 22,345 | $363K | |
| 2023 | 17,799 | $348K | |
| 2024incomplete | 15,695 | $295K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 13,332 | 11,734 | $304K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 6,374 | 1,576 | $266K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 4,726 | 2,017 | $264K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 14,902 | 13,011 | $237K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 10,644 | 9,348 | $201K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 1,590 | 536 | $150K |
| D1351 | Sealant - per tooth | 5.3% | 7,019 | 1,567 | $123K |
| D1110 | Prophylaxis - adult | 5.2% | 3,470 | 3,053 | $119K |
| D0272 | Bitewings - two radiographic images | 4.5% | 11,932 | 10,440 | $103K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 4,876 | 4,165 | $91K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 11,764 | 10,330 | $85K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 1,370 | 655 | $72K |
13 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.8% | 1,069 | $65K |
| D0330 | Panoramic radiographic image | 2.3% | 1,786 | $53K |
| D9999 | Unspecified adjunctive procedure, by report | 1.4% | 1,382 | $31K |
| D1999 | 1.3% | 10,020 | $30K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 851 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 11,764 | $24K |
| D2330 | <1% | 292 | $16K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 780 | $14K |
| D9920 | <1% | 937 | $12K | |
| D2390 | <1% | 40 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 102 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 38 | $3K |
| D0350 | 0% | 824 | $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 officialYEH, MATTHEW (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Kulshan Pediatric Dentistry | Mount Vernon, WA | $6.66M |
| Apple Pediatric Dentistry | Bellingham, WA | $5.78M |
| Oak Harbor Pediatric Dentistry | Oak Harbor, WA | $821K |
| Evernook Dentistry LLC | Nooksack, WA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.