Dental
Kulshan Pediatric Dentistry
Kulshan Pediatric Dentistry was paid $6.66M by Medicaid between Jul 2021 and Dec 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoKULSHAN PEDIATRIC DENTISTRY
MOUNT VERNON, WA 98273
MOUNT VERNON, WA 98273
33aNPI1912509464assigned 11/10/2020
33bProvider typePediatric Dentist
28Total paid$6.66M
24GClaims226,172
24DCodes billed29
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#15 of 156
Median peer was paid$337K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2021 | 24,655 | $662K | |
| 2022 | 55,920 | $1.45M | |
| 2023 | 74,105 | $2.32M | |
| 2024incomplete | 71,492 | $2.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 12,961 | 8,508 | $923K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 26,043 | 24,445 | $720K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 4,388 | 1,634 | $691K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 10,966 | 6,193 | $640K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 28,088 | 26,230 | $586K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 21,637 | 20,110 | $498K |
| D1351 | Sealant - per tooth | 6.3% | 16,653 | 5,346 | $420K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 16,654 | 15,327 | $390K |
| D1110 | Prophylaxis - adult | 4.3% | 6,987 | 6,618 | $285K |
| D0272 | Bitewings - two radiographic images | 3.5% | 24,221 | 22,670 | $231K |
| D0330 | Panoramic radiographic image | 3.3% | 5,862 | 5,473 | $223K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 4,063 | 2,324 | $220K |
17 more codes
| D9999 | Unspecified adjunctive procedure, by report | 2.6% | 5,619 | $176K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 2,098 | $166K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 2,708 | $113K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 12,221 | $99K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,388 | $53K |
| D9630 | <1% | 1,063 | $45K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14,919 | $33K |
| D9920 | <1% | 992 | $32K | |
| D2332 | <1% | 271 | $31K | |
| D0240 | <1% | 2,585 | $20K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 164 | $16K |
| D2331 | <1% | 151 | $14K | |
| D1206 | Topical application of fluoride varnish | <1% | 381 | $10K |
| D1354 | <1% | 1,928 | $7K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 52 | $7K |
| D2330 | <1% | 84 | $6K | |
| D7230 | <1% | 25 | $3K |
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 officialYEH, MATTHEW (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Apple Pediatric Dentistry | Bellingham, WA | $5.78M |
| Southcenter Children's Dentistry | Tukwila, WA | $2.30M |
| Oak Harbor Pediatric Dentistry | Oak Harbor, WA | $821K |
| Evernook Dentistry LLC | Nooksack, WA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.