Dental
Oak Harbor Pediatric Dentistry
Oak Harbor Pediatric Dentistry was paid $821K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoOAK HARBOR PEDIATRIC DENTISTRY
OAK HARBOR, WA 98277
OAK HARBOR, WA 98277
33aNPI1134656226assigned 05/19/2017
33bProvider typePediatric Dentist
28Total paid$821K
24GClaims35,934
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#62 of 156
Median peer was paid$337K
This provider vs. median2.4×
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 | 5,381 | $111K | |
| 2019 | 5,477 | $118K | |
| 2020 | 3,939 | $71K | |
| 2021 | 4,061 | $78K | |
| 2022 | 4,128 | $89K | |
| 2023 | 6,667 | $197K | |
| 2024incomplete | 6,281 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 7,076 | 6,876 | $187K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 6,785 | 6,533 | $151K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 7,800 | 7,581 | $149K |
| D1110 | Prophylaxis - adult | 7.9% | 1,763 | 1,709 | $65K |
| D1351 | Sealant - per tooth | 7.6% | 2,986 | 626 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,047 | 994 | $40K |
| D0330 | Panoramic radiographic image | 4.5% | 1,015 | 987 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.3% | 250 | 65 | $35K |
| D0272 | Bitewings - two radiographic images | 3.3% | 2,728 | 2,641 | $27K |
| D9999 | Unspecified adjunctive procedure, by report | 1.9% | 653 | 640 | $15K |
| D1999 | 1.2% | 1,006 | 935 | $10K | |
| D0274 | Bitewings - four radiographic images | 1.1% | 652 | 631 | $9K |
11 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 150 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 174 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 120 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 188 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 219 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 82 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 181 | $1K |
| D0240 | <1% | 116 | $944.46 | |
| D0602 | 0% | 396 | $0.00 | |
| D0603 | 0% | 419 | $0.00 | |
| D0601 | 0% | 128 | $0.00 |
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 officialYEH, MATTHEW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kulshan Pediatric Dentistry | Mount Vernon, WA | $6.66M |
| Apple Pediatric Dentistry | Bellingham, WA | $5.78M |
| Southcenter Children's Dentistry | Tukwila, WA | $2.30M |
| Evernook Dentistry LLC | Nooksack, WA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.