Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › UNIVERSITY PLACE › UNIVERSITY PLACE SMILES PLLC

UNIVERSITY PLACE SMILES PLLC

NPI: 1780020677 · UNIVERSITY PLACE, WA 98466 · Dental Clinic/Center · NPI assigned 05/17/2013

$3.06M
Total Medicaid Paid
104,633
Total Claims
80,007
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARK, YONG (OWNER/DENTIST)
NPI Enumeration Date05/17/2013

Related Entities

Other providers sharing the same authorized official: PARK, YONG

ProviderCityStateTotal Paid
ACCESS DENTAL LLC OLYMPIA WA $3.18M
FEDERAL WAY DENTAL CLINIC FEDERAL WAY WA $2.26M
WASHINGTON DENTAL FEDERAL WAY, LLC FEDERAL WAY WA $1.07M
LYNNWOOD DENTAL CARE LYNNWOOD WA $73K
PARK AND DENTAL ASSOCIATES, LLC BELLEVUE WA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,581 $128K
2019 8,517 $155K
2020 11,761 $211K
2021 19,785 $463K
2022 18,024 $627K
2023 21,969 $796K
2024 17,996 $680K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7,792 3,375 $527K
D1110 Prophylaxis - adult 8,095 7,835 $395K
D0150 Comprehensive oral evaluation - new or established patient 7,149 6,860 $267K
D7140 Extraction, erupted tooth or exposed root 4,259 1,222 $239K
D0330 Panoramic radiographic image 5,786 5,568 $223K
D1208 Topical application of fluoride, excluding varnish 10,936 10,589 $199K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,944 1,880 $194K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,874 1,051 $175K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,633 897 $165K
D0120 Periodic oral evaluation - established patient 5,857 5,713 $160K
D0274 Bitewings - four radiographic images 8,820 8,528 $114K
D0140 Limited oral evaluation - problem focused 3,455 3,288 $93K
D0220 Intraoral - periapical first radiographic image 10,707 10,148 $85K
D1120 Prophylaxis - child 1,753 1,708 $40K
D0230 Intraoral - periapical each additional radiographic image 17,742 8,166 $33K
D2331 352 230 $32K
D1351 Sealant - per tooth 1,086 256 $26K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 596 531 $20K
D1999 1,579 1,244 $18K
D2332 105 57 $13K
D4341 269 85 $8K
D2330 101 55 $6K
D4346 87 86 $6K
D1206 Topical application of fluoride varnish 269 264 $6K
D9630 87 84 $4K
D7230 20 12 $3K
D0210 Intraoral - complete series of radiographic images 87 86 $3K
D0272 Bitewings - two radiographic images 127 127 $1K
D4910 26 25 $598.00
D0273 13 13 $185.18
D0270 12 12 $90.00
D9430 15 12 $0.00