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    OpenPayerNPI Medicare & MedicaidMoses Lake Community Health Center
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    Moses Lake Community Health Center — Billing Profile & Reimbursement Data

    NPI 1386858652 · Moses Lake, WA · Dental Clinic/Center

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    Moses Lake Community Health Center is a dental clinic/center provider located in Moses Lake, Washington. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMoses Lake Community Health Center
    Address605 S Coolidge St
    CityMoses Lake
    StateWA
    ZIP98837
    TaxonomyDental Clinic/Center
    NPI EnumeratedMay 9, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$26.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive163,980$120$18.9M
    D0120Periodic oral evaluation - established patient58,180$20$1.3M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients56,580$20$848.6K
    D2392Post 2 surface resin‑based composite12,650$60$758.8K
    D1120Prophylaxis–child32,370$20$679.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth18,490$30$573.3K
    D0330N/A16,210$30$486.3K
    D2391Resin‑based composite – one surface, posterior10,290$50$483.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)11,430$40$468.8K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant12,450$30$398.3K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive96504,110$250$4.9M
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…157190320$70$197.1K
    D2392Post 2 surface resin‑based composite30540990$60$188.6K
    D0120Periodic oral evaluation - established patient12920690$20$131.3K
    D2391Resin‑based composite – one surface, posterior22480670$50$119.5K
    D1120Prophylaxis–child29730690$20$112.8K
    D1351Sealant - per tooth1364001,120$20$103.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)11390640$50$98.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients12730730$20$98.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9660620$30$76.1K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Moses Lake Community Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moses Lake Community Health CenterWAFederally Qualified Health Center (FQHC)$0$7.6M
    Moses Lake Community Health CenterWAFederally Qualified Health Center (FQHC)$0$4.4M
    Ishwar BhatWADiagnostic Radiology Physician$716.7K$0
    Ryan GoffTXDiagnostic Radiology Physician$270.9K$0
    Gregory BalmforthWADiagnostic Radiology Physician$219K$0
    Scott KingWADiagnostic Radiology Physician$218.9K$0
    John BellWADiagnostic Radiology Physician$200.3K$0
    Tasneem LalaniMADiagnostic Radiology Physician$158.7K$18.2K
    Richard BrunkanWADiagnostic Radiology Physician$159.8K$0
    David BauerMTDiagnostic Radiology Physician$153.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Moses Lake Community Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grant County Public Hospital District 1WARural Health Clinic/Center$0$28.1M
    Grant County Public Hospital District 1WAGeneral Acute Care Hospital$0$21.6M
    Moses Lake Pediatric DentistryWAPediatric Dentistry$0$9.6M
    Wenatchee Valley HospitalWARural Health Clinic/Center$0$8.6M
    Central Washington Sleep Diagnostic Center, PLLCWAGeneral Practice Physician$0$6.9M
    Dino CacchiottiWAOrthodontics and Dentofacial Orthopedics Dentistry$0$5.4M
    Inland Northwest Renal Care Group, LLCWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.9M
    Grant County Public Hospital District 1WARural Health Clinic/Center$0$3.3M
    City Of Moses LakeWALand Ambulance$409.6K$2.6M
    E & H Holdings, LLCWAAddiction Medicine (Family Medicine) Physician$0$2.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Washington Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Moses Lake Community Health Center — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington