Dental
South Hill Pediatric Dentistry
South Hill Pediatric Dentistry was paid $4.11M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D9920, — 18% of everything it billed.
33Billing provider infoSOUTH HILL PEDIATRIC DENTISTRY
SPOKANE, WA 99203
SPOKANE, WA 99203
33aNPI1942518154assigned 09/22/2010
33bProvider typePediatric Dentist
28Total paid$4.11M
24GClaims154,439
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#23 of 156
Median peer was paid$337K
This provider vs. median12×
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 | 16,383 | $392K | |
| 2019 | 17,927 | $440K | |
| 2020 | 19,266 | $438K | |
| 2021 | 23,974 | $596K | |
| 2022 | 25,808 | $643K | |
| 2023 | 26,090 | $789K | |
| 2024incomplete | 24,991 | $807K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 18% | 24,374 | 23,439 | $719K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 21,943 | 21,630 | $622K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 23,211 | 22,839 | $556K |
| D1206 | Topical application of fluoride varnish | 12% | 23,109 | 22,727 | $493K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 5,845 | 2,697 | $421K |
| D9999 | Unspecified adjunctive procedure, by report | 6.8% | 9,518 | 9,361 | $278K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 7,614 | 7,398 | $167K |
| D0272 | Bitewings - two radiographic images | 3.8% | 15,593 | 15,331 | $157K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 1,024 | 315 | $154K |
| D1351 | Sealant - per tooth | 2.5% | 4,574 | 1,467 | $103K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 4,625 | 4,295 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 2,338 | 2,263 | $96K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 1,113 | $63K |
| D0330 | Panoramic radiographic image | 1.5% | 1,620 | $63K |
| D1999 | <1% | 2,841 | $36K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 535 | $31K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,139 | $18K |
| D0240 | <1% | 1,713 | $15K | |
| D1110 | Prophylaxis - adult | <1% | 273 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 242 | $3K |
| D9630 | <1% | 13 | $585.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 182 | $428.97 |
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 officialJOHNSON, ERIN (PEDIATRIC DENTIST, OWNER)