Dental
Kids Choice Dental Puyallup, LLC
Kids Choice Dental Puyallup, LLC was paid $8.70M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D0120, dental checkup, returning patient — 12% of everything it billed.
33Billing provider infoKIDS CHOICE DENTAL PUYALLUP, LLC
PUYALLUP, WA 98373
PUYALLUP, WA 98373
33aNPI1891158861assigned 03/29/2016
33bProvider typePediatric Dentist
28Total paid$8.70M
24GClaims435,529
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#10 of 156
Median peer was paid$337K
This provider vs. median26×
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 | 51,872 | $824K | |
| 2019 | 53,002 | $951K | |
| 2020 | 50,485 | $868K | |
| 2021 | 56,608 | $893K | |
| 2022 | 68,981 | $1.15M | |
| 2023 | 76,778 | $1.94M | |
| 2024incomplete | 77,803 | $2.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 40,005 | 39,390 | $1.06M |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 44,266 | 43,481 | $1.03M |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 46,219 | 45,395 | $901K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 10,079 | 6,587 | $666K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.4% | 4,262 | 1,867 | $646K |
| D9630 | 7.1% | 14,197 | 13,926 | $619K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 8,860 | 5,493 | $489K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 46,458 | 45,209 | $374K |
| D1351 | Sealant - per tooth | 4.3% | 15,711 | 4,685 | $373K |
| D9999 | Unspecified adjunctive procedure, by report | 3.9% | 11,236 | 11,028 | $337K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 8,151 | 7,935 | $318K |
| D0272 | Bitewings - two radiographic images | 3.5% | 30,506 | 29,906 | $302K |
17 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 13,686 | $298K |
| D0330 | Panoramic radiographic image | 3.1% | 8,618 | $266K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 112,776 | $261K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 4,272 | $239K |
| D1110 | Prophylaxis - adult | 1.7% | 3,572 | $148K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 1,046 | $103K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 4,207 | $88K |
| D2390 | <1% | 306 | $85K | |
| D1999 | <1% | 4,847 | $64K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 203 | $15K |
| D1354 | <1% | 1,516 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 325 | $3K |
| D7111 | <1% | 104 | $3K | |
| D2330 | <1% | 23 | $2K | |
| D3230 | <1% | 24 | $2K | |
| D0270 | <1% | 12 | $47.52 | |
| D0350 | <1% | 42 | $17.92 |
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 officialVIRK, MAHADEED (OWNER OPERATOR)