Medicaid Provider Spending

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

KAIMUKI DENTAL GROUP, L.L.P.

NPI: 1033233630 · HONOLULU, HI 96816 · Dentist · NPI assigned 03/19/2007

$3K
Total Medicaid Paid
213
Total Claims
202
Beneficiaries
6
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHINN, ROY (PARTNER)
NPI Enumeration Date03/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 73 $1K
2024 140 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 106 101 $1K
D0230 Intraoral - periapical each additional radiographic image 58 52 $621.72
D0150 Comprehensive oral evaluation - new or established patient 12 12 $491.04
D1110 Prophylaxis - adult 12 12 $461.20
D0120 Periodic oral evaluation - established patient 12 12 $349.44
D1206 Topical application of fluoride varnish 13 13 $320.58