Medicaid Provider Spending

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

PACIFIC MAXILLOFACIAL CENTER, LLC

NPI: 1003839069 · HONOLULU, HI 96814 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 07/25/2006

$29K
Total Medicaid Paid
275
Total Claims
218
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialHARUKI, TODD (PRESIDENT)
NPI Enumeration Date07/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $15K
2019 113 $13K
2021 15 $732.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 124 67 $19K
D9310 151 151 $9K