Republic Dental Clinic

Republic Dental Clinic was paid $10K by Medicaid between Jan 2018 and Mar 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoREPUBLIC DENTAL CLINIC
REPUBLIC, WA 99166

33aNPI1164749396assigned 04/28/2010

33bProvider typeDentist

28Total paid$10K

24GClaims475

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#209 of 335

Median peer was paid$30K

This provider vs. median0.3×

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	92	$2K
2019	39	$627.13
2020	104	$2K
2021	137	$3K
2022	42	$864.84
2023	37	$756.41
2024incomplete	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	158	144	$4K
D1208	Topical application of fluoride, excluding varnish	26%	176	168	$3K
D1120	Dental cleaning, childProphylaxis - child	21%	99	95	$2K
D0150	Comprehensive oral evaluation - new or established patient	11%	30	29	$1K
D1110	Prophylaxis - adult	5.8%	12	12	$570.69

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 officialHARDWICK, ROBERT (OWNER/DENTIST)