Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sea Mar Community Health Centers

Sea Mar Community Health Centers was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.

33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
OCEAN SHORES, WA 98569
33aNPI1790136943assigned 06/29/2016
33bProvider typeDental Clinic/Center
28Total paid$2.22M
24GClaims39,286
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Washington

Rank by total paid#46 of 143
Median peer was paid$573K
This provider vs. median3.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RIOJAS, ROGELIO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20184,475$298K
20196,131$359K
20206,685$336K
20216,701$349K
20224,689$231K
20235,854$328K
2024incomplete4,751$317K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 81% 14,854 11,463 $1.79M
D0140 Limited oral evaluation - problem focused 5.6% 4,739 4,509 $125K
D1110 Prophylaxis - adult 2.0% 980 965 $45K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 1,306 1,275 $43K
D0220 Intraoral - periapical first radiographic image 1.9% 4,635 4,450 $43K
D0210 Intraoral - complete series of radiographic images 1.6% 978 953 $36K
D1206 Topical application of fluoride varnish 1.3% 1,689 1,658 $28K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.1% 843 826 $23K
D1999 <1% 1,249 1,016 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 402 238 $15K
D0270 <1% 1,670 1,480 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 204 161 $11K
11 more codes
D7140 Extraction, erupted tooth or exposed root <1% 251 $9K
D0230 Intraoral - periapical each additional radiographic image <1% 3,895 $8K
D0330 Panoramic radiographic image <1% 165 $6K
D4341 <1% 401 $5K
D0274 Bitewings - four radiographic images <1% 372 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 18 $1K
D9992 <1% 88 $930.00
D0272 Bitewings - two radiographic images <1% 79 $752.57
D1120 Dental cleaning, child <1% 12 $275.76
D1354 <1% 85 $252.00
D0603 0% 371 $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 officialRIOJAS, ROGELIO (CEO)
Same official

Other billing entities under RIOJAS, ROGELIO

Full network →

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