Nooksack Indian Tribe

Nooksack Indian Tribe was paid $892K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.

33Billing provider infoNOOKSACK INDIAN TRIBE
EVERSON, WA 98247

33aNPI1699967265assigned 08/16/2007

33bProvider typeDentist

28Total paid$892K

24GClaims4,247

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#75 of 335

Median peer was paid$30K

This provider vs. median29×

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	1,440	$187K
2019	877	$165K
2020	259	$73K
2021	464	$109K
2022	183	$51K
2023	647	$156K
2024incomplete	377	$151K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	97%	2,237	2,095	$863K
D1208	Topical application of fluoride, excluding varnish	1.0%	598	577	$9K
D0140	Limited oral evaluation - problem focused	<1%	384	375	$9K
D0220	Intraoral - periapical first radiographic image	<1%	730	477	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	145	144	$3K
D1110	Prophylaxis - adult	<1%	101	101	$3K
D1120	Dental cleaning, childProphylaxis - child	<1%	27	27	$597.48
D0330	Panoramic radiographic image	<1%	13	13	$560.51
D0274	Bitewings - four radiographic images	<1%	12	12	$109.80

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 officialGEORGE, RICHARD (DIRECTOR OF HEALTH & SOCIAL SERVICE)

Parent organizationNOOKSACK INDIAN TRIBE