Dental
A Children's Dentist
A Children's Dentist was paid $7.23M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoA CHILDREN'S DENTIST
BATTLE GROUND, WA 98604
BATTLE GROUND, WA 98604
33aNPI1679728711assigned 11/17/2008
33bProvider typePediatric Dentist
28Total paid$7.23M
24GClaims252,705
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#13 of 156
Median peer was paid$337K
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 | 43,006 | $1.11M | |
| 2019 | 41,520 | $1.10M | |
| 2020 | 37,162 | $935K | |
| 2021 | 36,619 | $927K | |
| 2022 | 31,745 | $796K | |
| 2023 | 32,547 | $1.18M | |
| 2024incomplete | 30,106 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 8,047 | 2,880 | $1.18M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 36,884 | 36,701 | $979K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 37,331 | 37,033 | $889K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 38,816 | 38,490 | $751K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 9,290 | 4,588 | $663K |
| D1351 | Sealant - per tooth | 7.4% | 22,964 | 4,899 | $535K |
| D9920 | 4.8% | 11,605 | 11,101 | $350K | |
| D9999 | Unspecified adjunctive procedure, by report | 4.6% | 11,044 | 10,854 | $330K |
| D0272 | Bitewings - two radiographic images | 4.3% | 30,501 | 30,259 | $310K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 3,871 | 2,248 | $214K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 3,068 | 1,738 | $191K |
| D0330 | Panoramic radiographic image | 2.3% | 3,999 | 3,965 | $166K |
17 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 7,379 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 3,834 | $157K |
| D1110 | Prophylaxis - adult | 1.4% | 2,736 | $98K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,117 | $64K |
| D1999 | <1% | 4,987 | $64K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,944 | $40K |
| D0240 | <1% | 5,446 | $31K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 288 | $20K |
| D0274 | Bitewings - four radiographic images | <1% | 1,060 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 89 | $7K |
| D2332 | <1% | 52 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,035 | $2K |
| D9110 | <1% | 41 | $2K | |
| D1510 | <1% | 22 | $1K | |
| D9992 | <1% | 46 | $675.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 61 | $621.06 |
| D1330 | 0% | 148 | $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 officialJENSEN, CONWAY (OWNER)