Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › ABERDEEN › HARBOR KIDS DENTAL PLLC

HARBOR KIDS DENTAL PLLC

NPI: 1851775514 · ABERDEEN, WA 98520 · General Practice Dentistry · NPI assigned 07/13/2015

$10.84M
Total Medicaid Paid
453,139
Total Claims
357,890
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANBIBBER, JUSTIN (OWNER)
NPI Enumeration Date07/13/2015

Related Entities

Other providers sharing the same authorized official: VANBIBBER, JUSTIN

ProviderCityStateTotal Paid
SMILES 4 KIDS ALLENMORE, P.C. TACOMA WA $10.63M
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 49,775 $1.09M
2019 62,711 $1.35M
2020 65,144 $1.38M
2021 66,720 $1.43M
2022 73,030 $1.60M
2023 70,770 $1.95M
2024 64,989 $2.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 10,084 3,370 $1.47M
D0120 Periodic oral evaluation - established patient 42,699 42,400 $1.14M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16,825 8,854 $1.10M
D1120 Prophylaxis - child 41,218 40,853 $956K
D1206 Topical application of fluoride varnish 36,609 36,297 $768K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11,974 6,527 $666K
D1351 Sealant - per tooth 26,405 7,049 $582K
D0220 Intraoral - periapical first radiographic image 47,288 46,484 $377K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15,428 14,856 $332K
D1110 Prophylaxis - adult 7,946 7,883 $307K
D9999 Unspecified adjunctive procedure, by report 10,210 10,122 $295K
D7140 Extraction, erupted tooth or exposed root 5,248 2,834 $291K
D0330 Panoramic radiographic image 7,742 7,614 $281K
D0272 Bitewings - two radiographic images 28,640 28,418 $275K
D9920 9,272 9,088 $250K
D0150 Comprehensive oral evaluation - new or established patient 6,661 6,545 $245K
D0230 Intraoral - periapical each additional radiographic image 91,574 44,007 $213K
D9630 4,600 4,567 $202K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2,320 1,190 $178K
D1208 Topical application of fluoride, excluding varnish 10,136 10,055 $139K
D9248 2,618 2,581 $139K
D2390 570 194 $123K
D8670 Periodic orthodontic treatment visit 606 545 $103K
D0140 Limited oral evaluation - problem focused 4,939 4,851 $101K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,074 860 $75K
D1999 4,999 4,773 $63K
D0160 1,212 1,151 $42K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 92 84 $39K
D0274 Bitewings - four radiographic images 3,190 3,162 $30K
D2330 437 285 $26K
D2332 182 118 $16K
D2331 144 104 $11K
D7240 Removal of impacted tooth - completely bony 39 13 $6K
D0170 21 21 $806.00
D1330 122 120 $0.00
D9310 15 15 $0.00