Clinic
Olympic Dental Center, LLC
Olympic Dental Center, LLC was paid $1.63M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D5110, — 36% of everything it billed.
33Billing provider infoOLYMPIC DENTAL CENTER, LLC
LACEY, WA 98503
LACEY, WA 98503
33aNPI1780733204assigned 01/10/2007
33bProvider typeDental Clinic/Center
28Total paid$1.63M
24GClaims27,907
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#50 of 143
Median peer was paid$573K
This provider vs. median2.8×
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 | 5,514 | $141K | |
| 2019 | 4,644 | $166K | |
| 2020 | 4,457 | $139K | |
| 2021 | 3,659 | $303K | |
| 2022 | 2,897 | $217K | |
| 2023 | 3,871 | $316K | |
| 2024incomplete | 2,865 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D5110 | 36% | 1,068 | 1,012 | $589K | |
| D5120 | 24% | 704 | 664 | $397K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 2,435 | 324 | $164K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 3,063 | 2,945 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 2,148 | 1,997 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 2,727 | 2,648 | $54K |
| D0330 | Panoramic radiographic image | 2.8% | 1,772 | 1,681 | $45K |
| D1110 | Prophylaxis - adult | 2.4% | 1,340 | 1,303 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 2,534 | 2,437 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 495 | 244 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 896 | 847 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 2,669 | 2,478 | $17K |
13 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 608 | $17K |
| D1999 | <1% | 1,353 | $16K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 124 | $14K |
| D0274 | Bitewings - four radiographic images | <1% | 929 | $10K |
| D7310 | <1% | 59 | $10K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 59 | $8K |
| D5750 | <1% | 47 | $7K | |
| D5751 | <1% | 31 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,656 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 94 | $4K |
| D9222 | <1% | 47 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 37 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $113.19 |
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 officialANDERSON, JOHN (DENTURIST)
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| Volunteer Radiation Oncology Group PC | Morristown, TN | $25K |
| Anderson Brothers Florin Square Pharmacy INC | Sacramento, CA | $2K |
| B-J Pharmacy INC | San Marcos, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.