Dental
Kids Cavity Prevention Program INC.
Kids Cavity Prevention Program INC. was paid $640K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 44% of everything it billed.
33Billing provider infoKIDS CAVITY PREVENTION PROGRAM INC.
YAKIMA, WA 98903
YAKIMA, WA 98903
33aNPI1659686848assigned 08/11/2010
33bProvider typeDentist
28Total paid$640K
24GClaims38,837
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#84 of 335
Median peer was paid$30K
This provider vs. median21×
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 | 23,447 | $376K | |
| 2019 | 15,390 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 44% | 15,504 | 3,422 | $280K |
| D1208 | Topical application of fluoride, excluding varnish | 25% | 8,514 | 8,462 | $157K |
| D0191 | 12% | 7,548 | 7,506 | $74K | |
| D1330 | 11% | 5,701 | 5,668 | $70K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 1,461 | 1,449 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 109 | 109 | $2K |
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 officialWELLS-SANDOVAL, SUSANA (PRESIDENT)