Hidden Valley Smiles

Hidden Valley Smiles was paid $6K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 22% of everything it billed.

33Billing provider infoHIDDEN VALLEY SMILES
BELLEVUE, WA 98005

33aNPI1912223116assigned 04/13/2010

33bProvider typeDentist

28Total paid$6K

24GClaims361

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#224 of 335

Median peer was paid$30K

This provider vs. median0.2×

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	39	$847.88
2023	68	$2K
2024incomplete	254	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0220	Intraoral - periapical first radiographic image	22%	114	109	$1K
D0150	Comprehensive oral evaluation - new or established patient	21%	27	25	$1K
D0330	Panoramic radiographic image	21%	28	26	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	39	39	$847.88
D0274	Bitewings - four radiographic images	12%	48	46	$708.46
D1206	Topical application of fluoride varnish	5.3%	12	12	$305.67
D0230	Intraoral - periapical each additional radiographic image	4.0%	93	46	$227.25

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 officialWONG, PETER (DENTIST)