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    OpenPayerNPI Medicare & MedicaidInternational Community Health Services
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    International Community Health Services — Billing Profile & Reimbursement Data

    NPI 1588743819 · Seattle, WA · Dentist

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    International Community Health Services is a dentist provider located in Seattle, Washington. This profile covers 0 Medicare and 28 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
    OrganizationInternational Community Health Services
    Address3815 S Othello St
    CitySeattle
    StateWA
    ZIP98118
    TaxonomyDentist
    NPI EnumeratedNovember 6, 2006

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

    Payer SourceTotal Paid
    Medicaid$14M
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive51,500$230$11.9M
    D0120Periodic oral evaluation - established patient17,280$20$414.6K
    D2392Post 2 surface resin‑based composite4,570$60$279K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients10,970$20$186.5K
    D0210Intraoral - complete series of radiographic images4,000$40$160.2K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant4,390$40$153.6K
    D1120Prophylaxis–child5,950$20$136.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,270$40$127.5K
    D2391Resin‑based composite – one surface, posterior2,490$50$117.2K
    D4910Periodontal maintenance procedures1,820$50$92.9K

    Showing 1–10 of 28

    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

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive626504,110$250$4.9M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,5491,860610$40$295.5K
    D2392Post 2 surface resin‑based composite104540990$60$188.6K
    D0120Periodic oral evaluation - established patient76920690$20$131.3K
    D2391Resin‑based composite – one surface, posterior128480670$50$119.5K
    D1120Prophylaxis–child141730690$20$112.8K
    D1351Sealant - per tooth2304001,120$20$103.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)232390640$50$98.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients99730730$20$98.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth128660620$30$76.1K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    International Community Health ServicesWADentist$0$16M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$12.7M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$11.5M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as International Community Health Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$18.9M
    Full Life CareWAAdult Day Care Clinic/Center$0$16.4M
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$3.3M
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$2.9M
    Seattle Children's HospitalWADental Clinic/Center$0$2.8M
    Salaam Health PLLCWACommunity/Retail Pharmacy$42.6K$26.4K
    Christin HitchcockWAPhysical Therapist$46.2K$0

    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
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    International Community Health Services — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington