Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › TACOMA › SMILES 4 KIDS ALLENMORE, P.C.

SMILES 4 KIDS ALLENMORE, P.C.

NPI: 1194151845 · TACOMA, WA 98405 · General Practice Dentistry · NPI assigned 09/25/2013

$10.63M
Total Medicaid Paid
447,048
Total Claims
338,544
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANBIBBER, JUSTIN (PRESIDENT)
NPI Enumeration Date09/25/2013

Related Entities

Other providers sharing the same authorized official: VANBIBBER, JUSTIN

ProviderCityStateTotal Paid
HARBOR KIDS DENTAL PLLC ABERDEEN WA $10.84M
SMILES 4 KIDS PC TACOMA WA $10.46M
KIDS DENTAL OF CENTRALIA, P.C. CENTRALIA WA $8.90M
HARBOR KIDS DENTAL OLYMPIA WA $6.78M
VANBIBBER HAUGHT DDS PC TUMWATER WA $5.41M
VANBIBBER WENATCHEE PC WENATCHEE WA $1.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64,548 $1.39M
2019 68,586 $1.50M
2020 59,614 $1.13M
2021 64,162 $1.36M
2022 66,103 $1.32M
2023 65,759 $2.16M
2024 58,276 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 9,975 2,594 $1.47M
D0120 Periodic oral evaluation - established patient 47,193 46,299 $1.19M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16,556 7,574 $1.07M
D2391 Resin-based composite - one surface, posterior, primary or permanent 17,159 6,690 $927K
D1120 Prophylaxis - child 40,574 39,742 $925K
D1351 Sealant - per tooth 31,444 7,985 $697K
D1206 Topical application of fluoride varnish 33,235 32,841 $667K
D1110 Prophylaxis - adult 11,275 11,068 $420K
D2390 1,265 425 $339K
D0220 Intraoral - periapical first radiographic image 40,602 39,510 $323K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13,787 13,023 $293K
D0330 Panoramic radiographic image 8,191 7,910 $289K
D9999 Unspecified adjunctive procedure, by report 10,083 9,914 $268K
D0272 Bitewings - two radiographic images 30,583 26,740 $247K
D1208 Topical application of fluoride, excluding varnish 16,943 16,305 $237K
D9630 5,121 5,001 $218K
D0150 Comprehensive oral evaluation - new or established patient 5,115 4,965 $192K
D0230 Intraoral - periapical each additional radiographic image 81,899 37,304 $189K
D9248 2,400 2,311 $130K
D7140 Extraction, erupted tooth or exposed root 2,380 1,248 $130K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,268 848 $90K
D0140 Limited oral evaluation - problem focused 3,907 3,772 $80K
D1999 5,745 5,428 $69K
D0274 Bitewings - four radiographic images 7,692 7,348 $68K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 621 306 $50K
D7111 1,093 730 $33K
D9920 228 207 $5K
D2332 57 36 $5K
D2330 80 51 $4K
D2331 21 13 $2K
D0273 71 71 $700.60
D2920 17 14 $447.84
D0270 25 25 $23.76
D3120 233 122 $0.00
D9215 148 91 $0.00
D9910 62 33 $0.00