Angus Square Dental

Angus Square Dental was paid $16K by Medicaid between Feb 2018 and Aug 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.

33Billing provider infoANGUS SQUARE DENTAL
KENNEWICK, WA 99336

33aNPI1912226127assigned 05/27/2010

33bProvider typeDentist

28Total paid$16K

24GClaims1,038

24DCodes billed8

24AFirst – last monthFeb 2018 – Aug 2023

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#193 of 335

Median peer was paid$30K

This provider vs. median0.5×

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	114	$2K
2019	72	$1K
2020	112	$2K
2021	252	$4K
2022	252	$4K
2023	236	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	47%	354	319	$8K
D1208	Topical application of fluoride, excluding varnish	28%	371	339	$5K
D1206	Topical application of fluoride varnish	8.6%	66	58	$1K
D1120	Dental cleaning, childProphylaxis - child	6.3%	52	50	$1K
D0220	Intraoral - periapical first radiographic image	4.4%	95	90	$714.98
D0274	Bitewings - four radiographic images	3.0%	40	37	$482.49
D0150	Comprehensive oral evaluation - new or established patient	1.9%	13	12	$316.24
D0230	Intraoral - periapical each additional radiographic image	<1%	47	28	$95.19

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 officialHARKER, SAMUEL (PRESIDENT/DENTIST)