Clinic
Olympic Dental Center LLC
Olympic Dental Center LLC was paid $1.13M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 41% of everything it billed.
33Billing provider infoOLYMPIC DENTAL CENTER LLC
CENTRALIA, WA 98531
CENTRALIA, WA 98531
33aNPI1841318912assigned 03/27/2007
33bProvider typeDental Clinic/Center
28Total paid$1.13M
24GClaims16,216
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#58 of 143
Median peer was paid$573K
This provider vs. median2.0×
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 | 4,121 | $145K | |
| 2019 | 3,224 | $160K | |
| 2020 | 2,057 | $118K | |
| 2021 | 2,344 | $200K | |
| 2022 | 1,766 | $187K | |
| 2023 | 2,061 | $276K | |
| 2024incomplete | 643 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 41% | 6,160 | 689 | $467K |
| D5110 | 28% | 738 | 611 | $313K | |
| D5120 | 11% | 284 | 240 | $126K | |
| D7310 | 4.4% | 313 | 103 | $50K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 1,685 | 1,531 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 1,150 | 1,036 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 621 | 118 | $28K |
| D0330 | Panoramic radiographic image | 2.4% | 1,025 | 934 | $28K |
| D1110 | Prophylaxis - adult | <1% | 317 | 283 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 456 | 401 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 180 | 71 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,071 | 928 | $7K |
7 more codes
| D1999 | <1% | 525 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 581 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 425 | $4K |
| D5751 | <1% | 16 | $2K | |
| D5750 | <1% | 16 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 35 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 618 | $924.24 |
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 (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Olympic Dental Center, LLC | Lacey, WA | $1.63M |
| Community Ambulance Service, INC. | Franklin, PA | $1.62M |
| Southern New Mexico Surgery Center, LLC | Alamogordo, NM | $56K |
| 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.