Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › TACOMA › OLYMPIC DENTAL & DENTURE CENTER,LLC

OLYMPIC DENTAL & DENTURE CENTER,LLC

NPI: 1750409827 · TACOMA, WA 98406 · Dental Clinic/Center · NPI assigned 03/27/2007

$20K
Total Medicaid Paid
1,283
Total Claims
1,223
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJOHNSON, RICHARD (OWNER)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: JOHNSON, RICHARD

ProviderCityStateTotal Paid
RIVER HILLS COMMUNITY HEALTH CENTER INC. OTTUMWA IA $77.32M
BAY CITY ISD BAY CITY TX $1.40M
SOUTHEASTERN PATHOLOGY ASSOCIATES PA LUMBERTON NC $410K
THE DREAM CENTER LOS ANGELES CA $264K
COASTAL FOOT & ANKLE WELLNESS CENTER LLC ST AUGUSTINE FL $176K
RICHARD G JOHNSON MD INC GLENDORA CA $53K
OKANOGAN SCHOOL DISTRICT #105 OKANOGAN WA $39K
VIAQUEST HOME HEALTH LLC CINCINNATI OH $9K
NORTH WARREN EMERGENCY MEDICAL SERVICES BLAIRSTOWN NJ $636.25
VIAQUEST HOSPICE OF INDIANA, LLC LAFAYETTE IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292 $5K
2019 271 $4K
2020 168 $2K
2021 344 $5K
2022 108 $2K
2023 41 $860.91
2024 59 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 477 459 $10K
D1206 Topical application of fluoride varnish 435 420 $6K
D1110 Prophylaxis - adult 40 38 $1K
D0220 Intraoral - periapical first radiographic image 190 176 $1K
D1120 Prophylaxis - child 29 29 $643.44
D0274 Bitewings - four radiographic images 44 43 $560.07
D0230 Intraoral - periapical each additional radiographic image 68 58 $119.25