Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › EWA BEACH › HAWAII PEDIATRIC DENTISTRY LLC

HAWAII PEDIATRIC DENTISTRY LLC

NPI: 1023742905 · EWA BEACH, HI 96706 · Pediatric Dentist · NPI assigned 07/15/2022

$14K
Total Medicaid Paid
410
Total Claims
410
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, PETER (OWNER/PEDIATRIC DENTIST)
NPI Enumeration Date07/15/2022

Related Entities

Other providers sharing the same authorized official: LEE, PETER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 410 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 92 92 $4K
D1120 Prophylaxis - child 141 141 $4K
D1206 Topical application of fluoride varnish 143 143 $4K
D0210 Intraoral - complete series of radiographic images 19 19 $1K
D0145 Oral evaluation for a patient under three years of age 15 15 $600.30