Dental
Smiles 4 Kids PC
Smiles 4 Kids PC was paid $10.46M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoSMILES 4 KIDS PC
TACOMA, WA 98404
TACOMA, WA 98404
33aNPI1467715508assigned 06/22/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$10.46M
24GClaims413,866
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#9 of 319
Median peer was paid$22K
This provider vs. median483×
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 | 51,130 | $1.34M | |
| 2019 | 57,317 | $1.53M | |
| 2020 | 56,619 | $1.36M | |
| 2021 | 54,842 | $1.51M | |
| 2022 | 68,098 | $1.38M | |
| 2023 | 67,070 | $1.77M | |
| 2024incomplete | 58,790 | $1.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 11,113 | 2,477 | $1.65M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 19,878 | 8,663 | $1.06M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 15,720 | 8,386 | $1.05M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 39,441 | 39,264 | $1.04M |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 38,229 | 38,003 | $891K |
| D1206 | Topical application of fluoride varnish | 7.2% | 37,694 | 37,451 | $754K |
| D1351 | Sealant - per tooth | 3.8% | 18,390 | 5,079 | $400K |
| D2390 | 3.7% | 2,053 | 736 | $391K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.1% | 3,996 | 1,452 | $329K |
| D9999 | Unspecified adjunctive procedure, by report | 3.1% | 10,800 | 10,737 | $323K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 15,040 | 14,556 | $313K |
| D1110 | Prophylaxis - adult | 2.6% | 6,963 | 6,913 | $270K |
19 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 33,522 | $269K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 4,236 | $239K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 102,683 | $237K |
| D0330 | Panoramic radiographic image | 2.2% | 6,625 | $229K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 5,533 | $215K |
| D9248 | 1.2% | 2,308 | $126K | |
| D9630 | 1.1% | 2,566 | $112K | |
| D0272 | Bitewings - two radiographic images | 1.0% | 11,728 | $109K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,361 | $89K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,183 | $85K |
| D1999 | <1% | 6,029 | $78K | |
| D0274 | Bitewings - four radiographic images | <1% | 6,035 | $65K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 664 | $52K |
| D2330 | <1% | 742 | $43K | |
| D7111 | <1% | 892 | $26K | |
| D2331 | <1% | 238 | $18K | |
| D9920 | <1% | 159 | $4K | |
| D0270 | <1% | 29 | $134.64 | |
| D9986 | 0% | 16 | $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 officialVANBIBBER, JUSTIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Harbor Kids Dental PLLC | Aberdeen, WA | $10.84M |
| Smiles 4 Kids Allenmore, P.C. | Tacoma, WA | $10.63M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.