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

Harbor Kids Dental

Harbor Kids Dental was paid $6.78M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.

33Billing provider infoHARBOR KIDS DENTAL
OLYMPIA, WA 98501
33aNPI1942686845assigned 08/04/2015
33bProvider typeDentist
28Total paid$6.78M
24GClaims281,820
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#25 of 335
Median peer was paid$30K
This provider vs. median222×

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$50K$100K$150K2018201920202021202220232024
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
201837,438$906K
201937,233$808K
202038,044$884K
202141,883$946K
202243,181$954K
202342,041$1.19M
2024incomplete42,000$1.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 14% 6,757 2,056 $937K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 26,090 25,929 $686K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 10,081 5,076 $681K
D1120 Dental cleaning, childProphylaxis - child 9.0% 26,036 25,831 $607K
D1206 Topical application of fluoride varnish 6.9% 22,605 22,399 $469K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.3% 7,961 4,011 $426K
D1351 Sealant - per tooth 5.7% 17,202 4,314 $385K
D9999 Unspecified adjunctive procedure, by report 3.4% 7,815 7,749 $229K
D0220 Intraoral - periapical first radiographic image 3.4% 28,728 28,236 $228K
D0150 Comprehensive oral evaluation - new or established patient 3.3% 5,769 5,674 $221K
D0330 Panoramic radiographic image 3.0% 5,665 5,592 $203K
D0272 Bitewings - two radiographic images 2.9% 20,043 19,853 $194K
21 more codes
D1110 Prophylaxis - adult 2.8% 5,120 $191K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.7% 8,593 $182K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.6% 2,087 $178K
D7140 Extraction, erupted tooth or exposed root 2.1% 2,540 $142K
D2390 2.1% 583 $141K
D0230 Intraoral - periapical each additional radiographic image 2.0% 58,621 $135K
D9630 1.3% 2,092 $90K
D1208 Topical application of fluoride, excluding varnish 1.3% 6,207 $85K
D9248 1.2% 1,684 $85K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.1% 1,018 $75K
D1999 <1% 3,410 $44K
D0140 Limited oral evaluation - problem focused <1% 1,883 $40K
D2332 <1% 389 $36K
D9920 <1% 1,181 $32K
D2331 <1% 317 $23K
D2330 <1% 242 $15K
D7111 <1% 544 $15K
D0274 Bitewings - four radiographic images <1% 297 $3K
D0270 <1% 103 $467.28
D3120 0% 145 $0.00
D0180 0% 12 $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
Kids Dental of Centralia, P.C.Centralia, WA$8.90M
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.