Dental
Kaneohe Kids Dental LLC
Kaneohe Kids Dental LLC was paid $411K by Medicaid between Feb 2023 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoKANEOHE KIDS DENTAL LLC
KANEOHE, HI 96744
KANEOHE, HI 96744
33aNPI1093427643assigned 12/14/2022
33bProvider typePediatric Dentist
28Total paid$411K
24GClaims11,690
24DCodes billed19
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#18 of 35
Median peer was paid$411K
This provider vs. median1.0×
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 | 5,757 | $189K | |
| 2024incomplete | 5,933 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 563 | 326 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,115 | 2,115 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,861 | 1,861 | $56K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 402 | 183 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 1,579 | 1,579 | $31K |
| D0274 | Bitewings - four radiographic images | 7.2% | 910 | 910 | $30K |
| D0272 | Bitewings - two radiographic images | 6.4% | 1,316 | 1,316 | $26K |
| D1110 | Prophylaxis - adult | 5.3% | 526 | 526 | $22K |
| D1206 | Topical application of fluoride varnish | 4.5% | 692 | 692 | $18K |
| D1351 | Sealant - per tooth | 4.1% | 584 | 208 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 57 | 45 | $9K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 246 | 244 | $9K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 436 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 84 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 56 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 190 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 22 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 37 | $1K |
| D0330 | Panoramic radiographic image | <1% | 14 | $786.24 |
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 officialYIM, CHRISTOPHER (OWNER)