Dental
Smiles for Keiki Pediatric Dentistry, LLC
Smiles for Keiki Pediatric Dentistry, LLC was paid $738K by Medicaid between Jun 2023 and Dec 2024, across 23 billing codes. Its largest line is D2394, — 30% of everything it billed.
33Billing provider infoSMILES FOR KEIKI PEDIATRIC DENTISTRY, LLC
HONOLULU, HI 96816
HONOLULU, HI 96816
33aNPI1043744170assigned 04/15/2017
33bProvider typePediatric Dentist
28Total paid$738K
24GClaims16,318
24DCodes billed23
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#15 of 35
Median peer was paid$411K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 5,367 | $238K | |
| 2024incomplete | 10,951 | $500K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2394 | 30% | 1,196 | 662 | $222K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16% | 755 | 506 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 1,940 | 1,940 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 1,876 | 1,876 | $48K |
| D2332 | 5.6% | 334 | 234 | $41K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 1,810 | 1,810 | $37K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 442 | 240 | $29K |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,406 | 1,406 | $26K |
| D2335 | 3.1% | 202 | 155 | $23K | |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,895 | 1,889 | $21K |
| D0274 | Bitewings - four radiographic images | 2.5% | 660 | 660 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 1,842 | 1,814 | $17K |
11 more codes
| D0330 | Panoramic radiographic image | 2.1% | 295 | $16K |
| D1110 | Prophylaxis - adult | 2.0% | 399 | $14K |
| D1206 | Topical application of fluoride varnish | 1.4% | 432 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 223 | $10K |
| D1351 | Sealant - per tooth | 1.0% | 269 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 94 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 127 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 36 | $4K |
| D2161 | <1% | 36 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 21 | $3K |
| D2160 | <1% | 28 | $2K |
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 officialRAWSON, AUDREY (PEDIATRIC DENTIST)