ALFA DENTAL AND DENTURE CENTER LLC
NPI 1841051844, organization, Everett, WA, Dentist
- Listed on the WA Medicaid exclusion list since October 12, 2023.
- Medicaid still paid claims in 7 later months, $86,276 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| WA Medicaid exclusion list state list extracted from https://www.hca.wa.gov/assets/billers-and-providers/termination-exclusion.xlsx (pandas claude colmap) | Exact NPI, name verified | Oct 12, 2023 | still open | 7 | Mar 2024 | Nov 2024 | $86K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALFA DENTAL AND DENTURE CENTER LLC (also ALFA DENTAL AND DENTURE CENTER) |
| Type | Organization |
| Status | Active |
| NPI issued | January 17, 2024, last updated January 17, 2024 |
| Practice location | 1710 100TH PL SE STE 109, Everett, WA 98208-3839, 425-224-4620 |
| Authorized official | SVETLANA HINKLE (Owner) |
| Specialties | Dentist (122300000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| D5110 | Medicaid service code | $55K | 63% | $769 | $507 (top 5% from $859) | too few months to rank | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated | $20K | 23% | $530 | $213 (top 5% from $539) | too few months to rank | |
| D5120 | Medicaid service code | $9K | 11% | $780 | $516 (top 5% from $890) | too few months to rank | |
| D0140 | Limited oral evaluation - problem focused | $2K | 2% | $36 | $29 (top 5% from $60) | too few months to rank | |
| D5410 | Medicaid service code | $403 | 0% | $34 | $35 (top 5% from $46) | too few months to rank | |
| D0330 | Panoramic radiographic image | $348 | 0% | $27 | $40 (top 5% from $76) | too few months to rank |
In this area
3 providers in Snohomish County, WA carry an indicator in the public record, with $162K at stake between them. The most common is part of a provider network, on 2 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | AMERICAN LABWORKS LLC Everett, WA, ranked 502 | $0 |
|
| 3 | CONTINUUM CARE OF SNOHOMISH, LLC Lynnwood, WA, ranked 1300 | $162K |
|
| 3 | EDEN HOSPICE AT SNOHOMISH COUNTY, LLC Lynnwood, WA, ranked 4715 | $0 |
|
Recent enforcement in WA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.