Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKE WASHINGTON TECHNICAL COLLEGE DENTAL CLINIC

NPI: 1932227923 · KIRKLAND, WA 98034 · Local Education Agency (LEA) · NPI assigned 03/27/2007

$25K
Total Medicaid Paid
697
Total Claims
635
Beneficiaries
6
Codes Billed
2018-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMCWILLIAMS, CHUCK (VICE PRESIDENT)
NPI Enumeration Date03/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $2K
2019 34 $838.84
2020 28 $581.92
2021 102 $3K
2022 180 $7K
2023 253 $12K
2024 13 $526.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 320 302 $12K
D0210 Intraoral - complete series of radiographic images 180 171 $8K
D1110 Prophylaxis - adult 55 55 $2K
D4341 57 25 $1K
D1208 Topical application of fluoride, excluding varnish 72 69 $1K
D0120 Periodic oral evaluation - established patient 13 13 $275.04