Dental
Delisle, Nicholas
Delisle, Nicholas was paid $323K by Medicaid between Jan 2018 and Jan 2019, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoDELISLE, NICHOLAS
KAILUA-KONA, HI 96740
KAILUA-KONA, HI 96740
33aNPI1073963385assigned 06/17/2016
33bProvider typePediatric Dentist
28Total paid$323K
24GClaims18,379
24DCodes billed25
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#19 of 35
Median peer was paid$411K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2018 | 18,074 | $317K | |
| 2019 | 305 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,511 | 1,335 | $58K |
| D1351 | Sealant - per tooth | 16% | 2,689 | 474 | $51K |
| D1206 | Topical application of fluoride varnish | 14% | 1,491 | 1,322 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 625 | 235 | $24K |
| D0274 | Bitewings - four radiographic images | 5.3% | 1,035 | 846 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 643 | 526 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 374 | 180 | $12K |
| D0350 | 3.5% | 2,099 | 1,368 | $11K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 717 | 668 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,695 | 1,401 | $10K |
| D0330 | Panoramic radiographic image | 2.9% | 262 | 241 | $9K |
| D7111 | 2.9% | 498 | 172 | $9K |
13 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.6% | 150 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 1,606 | $8K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 293 | $7K |
| D0272 | Bitewings - two radiographic images | 1.4% | 328 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 108 | $4K |
| D9420 | 1.2% | 120 | $4K | |
| D0603 | 1.2% | 1,198 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 220 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 133 | $2K |
| D0602 | <1% | 385 | $1K | |
| D0240 | <1% | 109 | $1K | |
| D1353 | <1% | 70 | $1K | |
| D2330 | <1% | 20 | $958.46 |
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.