Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLATEAU KIDS DENTISTRY, LLC

NPI: 1740807890 · SAMMAMISH, WA 98075 · Pediatric Dentist · NPI assigned 07/05/2020

$8K
Total Medicaid Paid
310
Total Claims
308
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCHIM, AMELIA (OWNER DENTIST)
NPI Enumeration Date07/05/2020

Related Entities

Other providers sharing the same authorized official: CHIM, AMELIA

ProviderCityStateTotal Paid
MARYSVILLE KIDS DENTISTRY MARYSVILLE WA $2.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 60 $1K
2023 111 $3K
2024 139 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 105 104 $3K
D1206 Topical application of fluoride varnish 123 122 $3K
D1120 Prophylaxis - child 82 82 $2K