Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALVIN H. L. CHUNG DDS, LLC

NPI: 1003684945 · HONOLULU, HI 96816 · Dental Clinic/Center · NPI assigned 12/19/2023

$25K
Total Medicaid Paid
494
Total Claims
374
Beneficiaries
9
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHUNG, ALVIN (DDS / OWNER / DOCTOR)
NPI Enumeration Date12/19/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 494 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 77 26 $12K
D1206 Topical application of fluoride varnish 121 121 $3K
D4341 41 29 $3K
D4355 30 30 $2K
D0210 Intraoral - complete series of radiographic images 32 32 $2K
D0230 Intraoral - periapical each additional radiographic image 135 79 $1K
D0120 Periodic oral evaluation - established patient 30 30 $848.43
D0150 Comprehensive oral evaluation - new or established patient 15 15 $613.80
D0220 Intraoral - periapical first radiographic image 13 12 $156.00