Clinic
Mililani Dental INC.
Mililani Dental INC. was paid $9K by Medicaid between May 2018 and Aug 2024, across 6 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 32% of everything it billed.
33Billing provider infoMILILANI DENTAL INC.
MILILANI, HI 96789
MILILANI, HI 96789
33aNPI1013433341assigned 08/18/2017
33bProvider typeDental Clinic/Center
28Total paid$9K
24GClaims214
24DCodes billed6
24AFirst – last monthMay 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Hawaii
Rank by total paid#17 of 23
Median peer was paid$52K
This provider vs. median0.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13 | $378.56 | |
| 2019 | 25 | $489.84 | |
| 2020 | 14 | $407.68 | |
| 2023 | 138 | $6K | |
| 2024incomplete | 24 | $993.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 32% | 48 | 48 | $3K |
| D1110 | Prophylaxis - adult | 30% | 63 | 63 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 51 | 51 | $2K |
| D0140 | Limited oral evaluation - problem focused | 9.2% | 27 | 26 | $786.24 |
| D0274 | Bitewings - four radiographic images | 3.6% | 12 | 12 | $305.76 |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 13 | 13 | $184.08 |
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 officialMATIASEVICH, BRADFORD (OWNER/DENTIST)