Medicaid Provider Spending

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

HARBOR KIDS DENTAL

NPI: 1942686845 · OLYMPIA, WA 98501 · Dentist · NPI assigned 08/04/2015

$6.78M
Total Medicaid Paid
281,820
Total Claims
217,822
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANBIBBER, JUSTIN (OWNER)
NPI Enumeration Date08/04/2015

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
KIDS DENTAL OF CENTRALIA, P.C. CENTRALIA WA $8.90M
VANBIBBER HAUGHT DDS PC TUMWATER WA $5.41M
VANBIBBER WENATCHEE PC WENATCHEE WA $1.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,438 $906K
2019 37,233 $808K
2020 38,044 $884K
2021 41,883 $946K
2022 43,181 $954K
2023 42,041 $1.19M
2024 42,000 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 6,757 2,056 $937K
D0120 Periodic oral evaluation - established patient 26,090 25,929 $686K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10,081 5,076 $681K
D1120 Prophylaxis - child 26,036 25,831 $607K
D1206 Topical application of fluoride varnish 22,605 22,399 $469K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,961 4,011 $426K
D1351 Sealant - per tooth 17,202 4,314 $385K
D9999 Unspecified adjunctive procedure, by report 7,815 7,749 $229K
D0220 Intraoral - periapical first radiographic image 28,728 28,236 $228K
D0150 Comprehensive oral evaluation - new or established patient 5,769 5,674 $221K
D0330 Panoramic radiographic image 5,665 5,592 $203K
D0272 Bitewings - two radiographic images 20,043 19,853 $194K
D1110 Prophylaxis - adult 5,120 5,081 $191K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 8,593 8,262 $182K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2,087 928 $178K
D7140 Extraction, erupted tooth or exposed root 2,540 1,481 $142K
D2390 583 173 $141K
D0230 Intraoral - periapical each additional radiographic image 58,621 27,068 $135K
D9630 2,092 2,070 $90K
D1208 Topical application of fluoride, excluding varnish 6,207 6,169 $85K
D9248 1,684 1,650 $85K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,018 777 $75K
D1999 3,410 3,065 $44K
D0140 Limited oral evaluation - problem focused 1,883 1,834 $40K
D2332 389 231 $36K
D9920 1,181 1,125 $32K
D2331 317 186 $23K
D2330 242 129 $15K
D7111 544 356 $15K
D0274 Bitewings - four radiographic images 297 294 $3K
D0270 103 100 $467.28
D3120 145 111 $0.00
D0180 12 12 $0.00