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    OpenPayerNPI Medicare & MedicaidHarbor Kids Dental
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    Harbor Kids Dental — Billing Profile & Reimbursement Data

    NPI 1942686845 · Olympia, WA · Dentist

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    Harbor Kids Dental is a dentist provider located in Olympia, Washington. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationHarbor Kids Dental
    Address108 22nd Ave Sw Ste 16
    CityOlympia
    StateWA
    ZIP98501
    TaxonomyDentist
    NPI EnumeratedAugust 4, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A6,760$140$939.2K
    D2392Post 2 surface resin‑based composite10,080$70$685.5K
    D0120Periodic oral evaluation - established patient26,090$30$678.3K
    D1120Prophylaxis–child26,040$20$598.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients22,610$20$474.7K
    D2391Resin‑based composite – one surface, posterior7,960$50$429.9K
    D1351Sealant - per tooth17,200$20$378.4K
    D0220Intraoral - periapical first radiographic image28,730$10$229.8K
    D9999N/A7,820$30$226.6K
    D0150Comprehensive oral evaluation – new or established patient5,770$40$219.2K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A341601,710$140$531.8K
    D2392Post 2 surface resin‑based composite45540990$60$188.6K
    D0120Periodic oral evaluation - established patient48920690$20$131.3K
    D2390N/A1140220$220$126.9K
    D2391Resin‑based composite – one surface, posterior36480670$50$119.5K
    D1120Prophylaxis–child43730690$20$112.8K
    D1351Sealant - per tooth354001,120$20$103.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)94390640$50$98.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients48730730$20$98.5K
    D3220N/A18100560$80$90.7K

    Showing 1–10 of 33

    Nearby Providers

    Other providers in the same ZIP code as Harbor Kids Dental, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smiles 4 Kids Lacey. PCWAGeneral Practice Dentistry$0$13.2M
    Innovative Sleep Centers PLLCWASleep Medicine (Psychiatry & Neurology) Physician$0$3.5M
    Access Dental LLCWAGeneral Practice Dentistry$0$3.2M
    American Medical Response Ambulance Service IncWAAmbulance$643.9K$2.2M
    Cynthia WhitneyWAFamily Medicine Physician$111.1K$0
    Jeanette RevayWAPsychiatric/Mental Health Nurse Practitioner$88.8K$70
    Howard LloydWAClinical Psychologist$22K$0
    Stephen RussellWADentist$8.8K$0
    Natalie FischerWANurse Practitioner$6.9K$0
    Wilfred LeungWAHospitalist Physician$5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Washington Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Harbor Kids Dental — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington