Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Seattle-king County Dept Of Public Health (NPI 1982761235)

Field	Value
Entity Type	Organization
Organization	Seattle-king County Dept Of Public Health
Address	401 5th Ave
City	Seattle
State	WA
ZIP	98104
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicaid	$62.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file while Medicaid billing totals $62.9M, indicating that virtually all reported fee‑for‑service revenue flows through Medicaid rather than Medicare. Analysts should treat Medicaid trends as the primary revenue driver when profiling this entity.

Revenue is highly concentrated in a very small set of codes: the top 3 Medicaid codes by revenue account for 91.6% of this provider's total Medicaid revenue. In particular, T1015 (156.1K claims, $356 avg paid/claim, $55.6M revenue) represents the vast majority of receipts (88.3% of Medicaid revenue), with D0120 (44.2K claims, $26 avg paid/claim, $1.1M revenue) and D1206 (50.2K claims, $18 avg paid/claim, $903.7K revenue) making up the remainder of that concentrated share.

The code mix and volumes indicate a public‑health style dental clinic operation that bills both broad clinic encounters and traditional dental procedures. The dominance of T1015 (Clinic visit/encounter, all‑inclusive) together with high counts for preventive and restorative dental CPTs such as D0120, D1206, D1110 (18.5K claims, $44 avg paid/claim, $815.8K revenue) and D2392 (12.1K claims, $64 avg paid/claim, $774.1K revenue) suggests bundled encounter billing is the primary revenue mechanism while routine preventive and basic restorative services are delivered at scale.

Competitive standing within Washington state is strong for multiple codes: T1015 ranks #10 of 652 providers (99th percentile) and is described as notably above typical state volume, marking the provider as a major statewide user of clinic encounter billing. Several dental codes also rank well above peers — D0120 is #22 of 918 (98th percentile), D1206 is #13 of 725 (98th percentile), and D1110 is #8 of 658 (99th percentile) — signaling high relative market share for common preventive services.

Preventive and pediatric services appear to be a meaningful operational focus: D1206 (Topical Fluoride Treatment) and D1120 (Prophylaxis–child; 16.5K claims, $23 avg paid/claim, $378.9K revenue) both show high claim volumes and strong in‑state percentiles, and D1351 (Sealant - per tooth; 16.7K claims, $18 avg paid/claim, $300.4K revenue) further supports substantial preventive throughput. These volumes point to substantial capacity for routine prevention and early‑intervention dental care under Medicaid.

The provider also delivers high volumes of basic restorative and surgical dental services: D2392 (Post 2 surface resin‑based composite), D2391 (one surface posterior), and D7140 (extraction) each appear in the top revenue list with meaningful counts and rank in the upper percentiles (D2392: 12.1K claims, $774.1K revenue, 94th percentile; D2391: 11.2K claims, $570K revenue, 96th percentile; D7140: 11.3K claims, $533.2K revenue, 97th percentile). This mix indicates the clinic manages both restorative workflows and extractions in addition to preventive programs.

There are code‑level statistical outliers and unusually high volumes for several services that merit attention from auditors and network planners: D0274 is classified as an "extreme outlier, far above typical state volume" (25.5K claims, $12 avg paid/claim, $306.3K revenue, ranks #7 of 602 providers, 99th percentile), while multiple other codes are flagged as "notably above typical state volume." These patterns suggest idiosyncratic billing and service patterns worth contextual review (e.g., service mix, patient population served, or clinic billing practices) when comparing to other statewide providers.

The provider has an established operational tenure: its NPI was enumerated 2007-01-03 (~19 years ago), indicating nearly two decades of activity. Given the long enrollment history and the heavy dependence on Medicaid revenue ($62.9M), the provider's financial profile will be particularly sensitive to Washington Medicaid policy, rate changes, and managed‑care contracting dynamics.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	156,120	$360	$55.6M
D0120	Periodic oral evaluation - established patient	44,190	$30	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	50,210	$20	$903.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,540	$40	$815.8K
D2392	Post 2 surface resin‑based composite	12,100	$60	$774.1K
D2391	Resin‑based composite – one surface, posterior	11,180	$50	$570K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11,340	$50	$533.2K
D0150	Comprehensive oral evaluation – new or established patient	14,190	$40	$525.1K
D1120	Prophylaxis–child	16,480	$20	$378.9K
D0140	Limited oral evaluation – problem focused	14,490	$30	$376.6K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Seattle-king County Dept Of Public Health — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	650	4,110	$250	$4.9M
D2930	N/A	143	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	33	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	22	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	20	480	670	$50	$119.5K
D1120	Prophylaxis–child	68	730	690	$20	$112.8K
D1351	Sealant - per tooth	37	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8	660	620	$30	$76.1K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Seattle-king County Dept Of Public Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Seattle-king County Dept Of Public Health	WA	Case Manager/Care Coordinator	$0	$74M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M
Downtown Emergency Service Center	WA	Community/Behavioral Health Agency	$0	$3.3M

Seattle-king County Dept Of Public Health — Billing Profile & Reimbursement Data

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Seattle-king County Dept Of Public Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References