Dental
Puyallup Dental, LLC
Puyallup Dental, LLC was paid $84K by Medicaid between Jan 2018 and Nov 2019, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoPUYALLUP DENTAL, LLC
PUYALLUP, WA 98375
PUYALLUP, WA 98375
33aNPI1992059737assigned 11/01/2012
33bProvider typeDentist
28Total paid$84K
24GClaims4,388
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#150 of 335
Median peer was paid$30K
This provider vs. median2.7×
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 | 3,108 | $59K | |
| 2019 | 1,280 | $24K |
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 | 19% | 359 | 183 | $16K |
| D1110 | Prophylaxis - adult | 11% | 314 | 291 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 159 | 98 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 380 | 353 | $9K |
| D0140 | Limited oral evaluation - problem focused | 8.5% | 427 | 384 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 7.9% | 262 | 242 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 200 | 77 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 917 | 818 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 83 | 37 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 217 | 198 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 113 | 107 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 34 | 24 | $2K |
6 more codes
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 officialPROBST, TRAVIS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Bonney Lake Dental LLC | Bonney Lake, WA | $4.81M |
| Fairwood Pedodonticsllc | Renton, WA | $1.33M |
| Fairwood Dental LLC | Renton, WA | $1.20M |
| Lake Meridian Dental LLC | Kent, WA | $435K |
| North Lakewood Dental PLCC | Lakewood, WA | $30K |
| Port Orchard Dental LLC | Port Orchard, WA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.