Dental
House, Lee, Mast, Mcdonald and Nelson, PC
House, Lee, Mast, Mcdonald and Nelson, PC was paid $529K by Medicaid between Jan 2018 and Nov 2020, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoHOUSE, LEE, MAST, MCDONALD AND NELSON, PC
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1740630342assigned 06/15/2016
33bProvider typePediatric Dentist
28Total paid$529K
24GClaims25,906
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#70 of 156
Median peer was paid$337K
This provider vs. median1.6×
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 | 8,451 | $185K | |
| 2019 | 10,717 | $224K | |
| 2020 | 6,738 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 3,571 | 3,543 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,310 | 3,282 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 996 | 510 | $65K |
| D1206 | Topical application of fluoride varnish | 12% | 3,858 | 3,824 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 1,076 | 1,067 | $39K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 648 | 354 | $34K |
| D9999 | Unspecified adjunctive procedure, by report | 6.1% | 1,179 | 1,168 | $32K |
| D1110 | Prophylaxis - adult | 4.3% | 651 | 643 | $23K |
| D1351 | Sealant - per tooth | 4.1% | 1,047 | 347 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 781 | 701 | $15K |
| D0272 | Bitewings - two radiographic images | 2.8% | 1,391 | 1,384 | $15K |
| D1999 | 2.5% | 987 | 944 | $13K |
11 more codes
| D0330 | Panoramic radiographic image | 2.5% | 333 | $13K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 538 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 140 | $8K |
| D0240 | 1.3% | 723 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 289 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 103 | $1K |
| D1354 | <1% | 122 | $437.00 | |
| D0601 | <1% | 1,422 | $226.00 | |
| D0602 | <1% | 2,305 | $208.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 42 | $90.31 |
| D0603 | <1% | 394 | $76.00 |
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 officialRENNER, MELLISSA (REGIONAL OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Oregon Pip Dental Group, PC | Hermiston, OR | $3.91M |
| Oregon Pip Dental Group, PC | Hood River, OR | $482K |
| Oregon Pip Dental Group, PC | The Dalles, OR | $440K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.