Clinic
KCPP Community Outreach
KCPP Community Outreach was paid $104K by Medicaid between Oct 2019 and Mar 2020, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 42% of everything it billed.
33Billing provider infoKCPP COMMUNITY OUTREACH
EVERETT, WA 98204
EVERETT, WA 98204
33aNPI1770130890assigned 08/22/2019
33bProvider typeDental Clinic/Center
28Total paid$104K
24GClaims6,701
24DCodes billed6
24AFirst – last monthOct 2019 – Mar 2020
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#100 of 143
Median peer was paid$573K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 2,904 | $43K | |
| 2020 | 3,797 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 42% | 2,466 | 623 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 1,578 | 1,574 | $25K |
| D0191 | 14% | 1,398 | 1,394 | $14K | |
| D1330 | 12% | 1,001 | 998 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.6% | 218 | 218 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 40 | 40 | $919.20 |
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 officialCHO, DAVID (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| D2D Dental MGMT, PLLC | Princeton, TX | $7K |
| D W Cho Dental Corporation | Los Angeles, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.