Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kids Dental of Centralia, P.C.

Kids Dental of Centralia, P.C. was paid $8.90M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.

33Billing provider infoKIDS DENTAL OF CENTRALIA, P.C.
CENTRALIA, WA 98531
33aNPI1659796076assigned 02/21/2014
28Total paid$8.90M
24GClaims390,566
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#11 of 319
Median peer was paid$22K
This provider vs. median410×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201848,225$963K
201959,966$1.19M
202053,371$1.04M
202154,872$1.07M
202261,298$1.38M
202357,786$1.64M
2024incomplete55,048$1.62M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 15% 9,694 3,286 $1.30M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 37,341 37,047 $969K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 13,541 6,888 $900K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9.4% 14,625 6,601 $834K
D1120 Dental cleaning, childProphylaxis - child 9.0% 34,960 34,628 $804K
D1351 Sealant - per tooth 6.0% 23,582 6,200 $530K
D1206 Topical application of fluoride varnish 5.3% 21,969 21,775 $472K
D0220 Intraoral - periapical first radiographic image 3.5% 39,402 38,417 $310K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.2% 13,349 12,830 $283K
D1110 Prophylaxis - adult 2.9% 6,894 6,849 $261K
D9999 Unspecified adjunctive procedure, by report 2.8% 8,646 8,573 $251K
D1208 Topical application of fluoride, excluding varnish 2.7% 16,062 15,891 $243K
24 more codes
D0330 Panoramic radiographic image 2.6% 6,681 $233K
D0272 Bitewings - two radiographic images 2.5% 23,012 $219K
D0230 Intraoral - periapical each additional radiographic image 2.4% 92,773 $215K
D0150 Comprehensive oral evaluation - new or established patient 1.9% 4,526 $169K
D9248 1.7% 2,886 $149K
D7140 Extraction, erupted tooth or exposed root 1.4% 2,307 $126K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.4% 1,741 $123K
D9630 1.1% 2,385 $102K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 1,049 $76K
D0140 Limited oral evaluation - problem focused <1% 3,659 $76K
D1999 <1% 5,283 $70K
D2331 <1% 462 $31K
D0160 <1% 826 $28K
D2390 <1% 96 $24K
D8080 Comprehensive orthodontic treatment of the adolescent dentition <1% 88 $22K
D9920 <1% 798 $21K
D7111 <1% 468 $13K
D2330 <1% 241 $13K
D8670 Periodic orthodontic treatment visit <1% 63 $13K
D2332 <1% 120 $10K
D0274 Bitewings - four radiographic images <1% 799 $9K
D2920 <1% 19 $379.81
D1330 0% 161 $0.00
D3120 0% 58 $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)
Same official

Other billing entities under VANBIBBER, JUSTIN

Full network →
ProviderLocationPaid
Harbor Kids Dental PLLCAberdeen, WA$10.84M
Smiles 4 Kids Allenmore, P.C.Tacoma, WA$10.63M
Smiles 4 Kids PCTacoma, WA$10.46M
Harbor Kids DentalOlympia, WA$6.78M
Vanbibber Haught DDS PCTumwater, WA$5.41M
Vanbibber Wenatchee PCWenatchee, WA$1.68M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.