Northwest Dental PLLC

Northwest Dental PLLC was paid $87K by Medicaid between Jan 2018 and Sep 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoNORTHWEST DENTAL PLLC
FEDERAL WAY, WA 98003

33aNPI1881923357assigned 12/13/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$87K

24GClaims4,612

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#121 of 319

Median peer was paid$22K

This provider vs. median4.0×

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	1,159	$23K
2019	819	$15K
2020	971	$18K
2021	906	$16K
2022	627	$11K
2023	130	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	1,251	1,246	$29K
D1208	Topical application of fluoride, excluding varnish	28%	1,490	1,480	$24K
D1120	Dental cleaning, childProphylaxis - child	20%	793	789	$18K
D0272	Bitewings - two radiographic images	10%	874	869	$9K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.0%	69	39	$3K
D1351	Sealant - per tooth	1.4%	57	12	$1K
D0140	Limited oral evaluation - problem focused	1.3%	61	53	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.2%	17	12	$1K

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 officialLIU, YAKO (MANAGER)