Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Olympic Dental & Denture Center,llc

Olympic Dental & Denture Center,llc was paid $20K by Medicaid between Jan 2018 and Apr 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoOLYMPIC DENTAL & DENTURE CENTER,LLC
TACOMA, WA 98406
33aNPI1750409827assigned 03/27/2007
33bProvider typeDental Clinic/Center
28Total paid$20K
24GClaims1,283
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Dental Clinic/Center providers in Washington

Rank by total paid#120 of 143
Median peer was paid$573K
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018292$5K
2019271$4K
2020168$2K
2021344$5K
2022108$2K
202341$860.91
2024incomplete59$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 50% 477 459 $10K
D1206 Topical application of fluoride varnish 31% 435 420 $6K
D1110 Prophylaxis - adult 6.6% 40 38 $1K
D0220 Intraoral - periapical first radiographic image 6.2% 190 176 $1K
D1120 Dental cleaning, childProphylaxis - child 3.2% 29 29 $643.44
D0274 Bitewings - four radiographic images 2.8% 44 43 $560.07
D0230 Intraoral - periapical each additional radiographic image <1% 68 58 $119.25

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 officialJOHNSON, RICHARD (OWNER)
Same official

Other billing entities under JOHNSON, RICHARD

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.