Physician
Harbor Community Clinic INC
Harbor Community Clinic INC was paid $3K by Medicaid between Jan 2022 and Sep 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 43% of everything it billed.
33Billing provider infoHARBOR COMMUNITY CLINIC INC
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
33aNPI1831739614assigned 01/09/2020
33bProvider typePediatrics Physician
28Total paid$3K
24GClaims269
24DCodes billed7
24AFirst – last monthJan 2022 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#956 of 1,490
Median peer was paid$15K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 80 | $2K | |
| 2023 | 100 | $621.20 | |
| 2024incomplete | 89 | $871.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 43% | 79 | 50 | $1K |
| D1320 | 20% | 79 | 79 | $592.50 | |
| D0210 | Intraoral - complete series of radiographic images | 14% | 13 | 13 | $433.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 12 | 12 | $284.00 |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 13 | 13 | $187.70 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 61 | 12 | $134.70 |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 12 | 12 | $83.00 |
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 officialKING, TAMRA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Harbor Community Clinic INC. | San Pedro, CA | $20.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.