Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Lake Stevens › NPI 1750699377
Clinic

Aj Family Dentistry

Aj Family Dentistry was paid $2K by Medicaid between Jul 2018 and Aug 2024, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 60% of everything it billed.

33Billing provider infoAJ FAMILY DENTISTRY
LAKE STEVENS, WA 98258
33aNPI1750699377assigned 09/16/2010
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims156
24DCodes billed4
24AFirst – last monthJul 2018 – Aug 2024
Compared with peers

Next to other Dental Clinic/Center providers in Washington

Rank by total paid#135 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$250$500$7502018201920202021202220232024
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
201880$814.30
201949$811.14
202014$172.25
2024incomplete13$334.75
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1208 Topical application of fluoride, excluding varnish 60% 88 86 $1K
D1120 Dental cleaning, childProphylaxis - child 32% 31 31 $689.40
D0220 Intraoral - periapical first radiographic image 4.5% 12 12 $95.04
D0230 Intraoral - periapical each additional radiographic image 2.8% 25 12 $59.25

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 officialTIEN, JOHNNY (PRESIDENT)
Same official

Other billing entities under TIEN, JOHNNY

Full network →
ProviderLocationPaid
Caring Family DentistryMill Creek, WA$6K

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