Dental
Plateau Kids Dentistry, LLC
Plateau Kids Dentistry, LLC was paid $8K by Medicaid between Aug 2022 and Aug 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoPLATEAU KIDS DENTISTRY, LLC
SAMMAMISH, WA 98075
SAMMAMISH, WA 98075
33aNPI1740807890assigned 07/05/2020
33bProvider typePediatric Dentist
28Total paid$8K
24GClaims310
24DCodes billed3
24AFirst – last monthAug 2022 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#120 of 156
Median peer was paid$337K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 60 | $1K | |
| 2023 | 111 | $3K | |
| 2024incomplete | 139 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 105 | 104 | $3K |
| D1206 | Topical application of fluoride varnish | 36% | 123 | 122 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 82 | 82 | $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 officialCHIM, AMELIA (OWNER DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Marysville Kids Dentistry | Marysville, WA | $2.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.