Managed care
Federal Way Dental Clinic
Federal Way Dental Clinic was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoFEDERAL WAY DENTAL CLINIC
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1760936637assigned 08/09/2016
33bProvider typePreferred Provider Organization
28Total paid$2.26M
24GClaims75,342
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Washington
Rank by total paid#1 of 5
Median peer was paid$371K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2018 | 4,592 | $102K | |
| 2019 | 7,383 | $137K | |
| 2020 | 11,173 | $207K | |
| 2021 | 11,849 | $236K | |
| 2022 | 15,188 | $605K | |
| 2023 | 14,326 | $582K | |
| 2024incomplete | 10,831 | $389K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 6,083 | 2,315 | $381K |
| D1110 | Prophylaxis - adult | 11% | 4,943 | 4,791 | $250K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 6,630 | 6,343 | $238K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.8% | 2,081 | 970 | $221K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.1% | 3,913 | 1,624 | $182K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 8,015 | 7,752 | $149K |
| D0330 | Panoramic radiographic image | 6.3% | 3,278 | 3,146 | $143K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.9% | 1,362 | 687 | $112K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 1,876 | 552 | $106K |
| D0274 | Bitewings - four radiographic images | 4.0% | 7,056 | 6,784 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 2,937 | 2,879 | $87K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 7,744 | 7,279 | $67K |
15 more codes
| D0140 | Limited oral evaluation - problem focused | 3.0% | 2,481 | $67K |
| D4341 | 2.9% | 2,832 | $65K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 11,154 | $24K |
| D4346 | <1% | 242 | $17K | |
| D1999 | <1% | 1,425 | $16K | |
| D2331 | <1% | 144 | $11K | |
| D1120 | Dental cleaning, child | <1% | 426 | $9K |
| D1351 | Sealant - per tooth | <1% | 302 | $6K |
| D9630 | <1% | 124 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 139 | $4K |
| D2335 | <1% | 18 | $2K | |
| D2330 | <1% | 37 | $2K | |
| D4910 | <1% | 40 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $404.11 |
| D9430 | 0% | 20 | $0.00 |
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 officialPARK, YONG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Access Dental LLC | Olympia, WA | $3.18M |
| University Place Smiles PLLC | University Place, WA | $3.06M |
| Washington Dental Federal Way, LLC | Federal Way, WA | $1.07M |
| Lynnwood Dental Care | Lynnwood, WA | $73K |
| Park and Dental Associates, LLC | Bellevue, WA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.