Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › CENTRALIA › KIDS DENTAL OF CENTRALIA, P.C.

KIDS DENTAL OF CENTRALIA, P.C.

NPI: 1659796076 · CENTRALIA, WA 98531 · General Practice Dentistry · NPI assigned 02/21/2014

$8.90M
Total Medicaid Paid
390,566
Total Claims
289,290
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANBIBBER, JUSTIN (OWNER)
NPI Enumeration Date02/21/2014

Related Entities

Other providers sharing the same authorized official: VANBIBBER, JUSTIN

ProviderCityStateTotal Paid
HARBOR KIDS DENTAL PLLC ABERDEEN WA $10.84M
SMILES 4 KIDS ALLENMORE, P.C. TACOMA WA $10.63M
SMILES 4 KIDS PC TACOMA WA $10.46M
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 48,225 $963K
2019 59,966 $1.19M
2020 53,371 $1.04M
2021 54,872 $1.07M
2022 61,298 $1.38M
2023 57,786 $1.64M
2024 55,048 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 9,694 3,286 $1.30M
D0120 Periodic oral evaluation - established patient 37,341 37,047 $969K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13,541 6,888 $900K
D2391 Resin-based composite - one surface, posterior, primary or permanent 14,625 6,601 $834K
D1120 Prophylaxis - child 34,960 34,628 $804K
D1351 Sealant - per tooth 23,582 6,200 $530K
D1206 Topical application of fluoride varnish 21,969 21,775 $472K
D0220 Intraoral - periapical first radiographic image 39,402 38,417 $310K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13,349 12,830 $283K
D1110 Prophylaxis - adult 6,894 6,849 $261K
D9999 Unspecified adjunctive procedure, by report 8,646 8,573 $251K
D1208 Topical application of fluoride, excluding varnish 16,062 15,891 $243K
D0330 Panoramic radiographic image 6,681 6,490 $233K
D0272 Bitewings - two radiographic images 23,012 22,745 $219K
D0230 Intraoral - periapical each additional radiographic image 92,773 36,336 $215K
D0150 Comprehensive oral evaluation - new or established patient 4,526 4,442 $169K
D9248 2,886 2,818 $149K
D7140 Extraction, erupted tooth or exposed root 2,307 1,392 $126K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1,741 906 $123K
D9630 2,385 2,347 $102K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,049 777 $76K
D0140 Limited oral evaluation - problem focused 3,659 3,574 $76K
D1999 5,283 5,001 $70K
D2331 462 280 $31K
D0160 826 688 $28K
D2390 96 40 $24K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 88 75 $22K
D9920 798 784 $21K
D7111 468 316 $13K
D2330 241 160 $13K
D8670 Periodic orthodontic treatment visit 63 62 $13K
D2332 120 76 $10K
D0274 Bitewings - four radiographic images 799 795 $9K
D2920 19 14 $379.81
D1330 161 149 $0.00
D3120 58 38 $0.00