Dental
MC-LL LLC
MC-LL LLC was paid $17K by Medicaid between Jan 2018 and Aug 2018, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoMC-LL LLC
LIBERTY LAKE, WA 99019
LIBERTY LAKE, WA 99019
33aNPI1871546184assigned 05/18/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims869
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#168 of 319
Median peer was paid$22K
This provider vs. median0.8×
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 | 869 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 171 | 169 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 170 | 165 | $4K |
| D1206 | Topical application of fluoride varnish | 16% | 214 | 210 | $3K |
| D0140 | Limited oral evaluation - problem focused | 12% | 110 | 108 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 56 | 56 | $1K |
| D0274 | Bitewings - four radiographic images | 3.9% | 62 | 62 | $648.36 |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 86 | 83 | $579.96 |
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 officialGIBBS, MARSHALL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mc-Nspk LLC | Spokane, WA | $393K |
| Valley Dental, INC | Colfax, WA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.