Dental
North Tacoma Pediatric Dentistry and Orthodontics LLC
North Tacoma Pediatric Dentistry and Orthodontics LLC was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoNORTH TACOMA PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
TACOMA, WA 98405
TACOMA, WA 98405
33aNPI1942663927assigned 03/29/2016
33bProvider typePediatric Dentist
28Total paid$2.46M
24GClaims139,421
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#38 of 156
Median peer was paid$337K
This provider vs. median7.3×
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 | 24,773 | $385K | |
| 2019 | 19,932 | $321K | |
| 2020 | 14,450 | $209K | |
| 2021 | 20,512 | $321K | |
| 2022 | 21,378 | $371K | |
| 2023 | 18,941 | $406K | |
| 2024incomplete | 19,435 | $443K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,350 | 13,160 | $347K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 14,461 | 14,258 | $335K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 15,717 | 15,481 | $294K |
| D9630 | 7.3% | 4,115 | 4,040 | $180K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 3,303 | 1,998 | $177K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 2,480 | 1,712 | $167K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 15,490 | 15,118 | $124K |
| D0272 | Bitewings - two radiographic images | 4.3% | 10,608 | 10,472 | $106K |
| D9999 | Unspecified adjunctive procedure, by report | 4.3% | 3,492 | 3,445 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 2,662 | 2,613 | $100K |
| D1351 | Sealant - per tooth | 3.8% | 4,441 | 1,222 | $93K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 4,197 | 3,896 | $91K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 37,522 | $87K |
| D0330 | Panoramic radiographic image | 3.3% | 2,431 | $81K |
| D1110 | Prophylaxis - adult | 2.2% | 1,332 | $54K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 407 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 486 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,144 | $23K |
| D1999 | <1% | 1,550 | $21K | |
| D0274 | Bitewings - four radiographic images | <1% | 108 | $997.95 |
| D9995 | <1% | 71 | $700.00 | |
| D9996 | <1% | 54 | $540.00 |
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 officialVIRK, MAHADEEP (OWNER OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| South Center Pediatric Dentistry and Orthodontics LLC | Tukwila, WA | $6.85M |
| Covington Orthodontics and Pediatric Dentistry L.L.C. | Covington, WA | $219K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.