Dental
Hawaii Pediatric Dentistry LLC
Hawaii Pediatric Dentistry LLC was paid $14K by Medicaid between Jul 2024 and Dec 2024, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 30% of everything it billed.
33Billing provider infoHAWAII PEDIATRIC DENTISTRY LLC
EWA BEACH, HI 96706
EWA BEACH, HI 96706
33aNPI1023742905assigned 07/15/2022
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims410
24DCodes billed5
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#32 of 35
Median peer was paid$411K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 410 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 30% | 92 | 92 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 141 | 141 | $4K |
| D1206 | Topical application of fluoride varnish | 27% | 143 | 143 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 8.2% | 19 | 19 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | 4.3% | 15 | 15 | $600.30 |
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 officialLEE, PETER (OWNER/PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Peter C Lee MD Amc | Los Angeles, CA | $164K |
| P Z Lee DMD Dental Corporation | Alhambra, CA | $19K |
| Peter Y. Lee DMD INC. | Anaheim, CA | $11K |
| Professional Hearing Healthcare Associates, INC. | Westborough, MA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.