Big Kahuna Dental, LLC Dba Aloha Dental

Big Kahuna Dental, LLC Dba Aloha Dental was paid $115K by Medicaid between Jan 2018 and Aug 2018, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoBIG KAHUNA DENTAL, LLC DBA ALOHA DENTAL
WEST VALLEY CITY, UT 84120

33aNPI1073928305assigned 06/25/2014

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$115K

24GClaims5,675

24DCodes billed15

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Utah

Rank by total paid#11 of 27

Median peer was paid$68K

This provider vs. median1.7×

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	5,675	$115K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	689	668	$55K
D1351	Sealant - per tooth	33%	1,634	169	$38K
D1120	Dental cleaning, childProphylaxis - child	9.8%	694	673	$11K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	32	31	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	1.5%	28	14	$2K
D0272	Bitewings - two radiographic images	1.2%	315	304	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.0%	86	77	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	23	13	$1K
D0220	Intraoral - periapical first radiographic image	<1%	583	553	$572.60
D2140		<1%	15	13	$437.69
D1206	Topical application of fluoride varnish	<1%	771	744	$319.03
D1110	Prophylaxis - adult	<1%	48	43	$175.48

3 more codes

D0330	Panoramic radiographic image	<1%	31	$158.27
D0274	Bitewings - four radiographic images	<1%	198	$155.96
D0230	Intraoral - periapical each additional radiographic image	<1%	528	$67.38

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 officialPEERY, KASE (BUSINESS MANAGER)