Medicaid Provider Spending

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

KAPOLEI FAMILY DENTAL CORPORATION

NPI: 1114155413 · KAPOLEI, HI 96707 · Dentist · NPI assigned 06/24/2009

$43K
Total Medicaid Paid
2,534
Total Claims
2,532
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLIU, RICHARD (DENTIST/OWNER)
NPI Enumeration Date06/24/2009

Related Entities

Other providers sharing the same authorized official: LIU, RICHARD

ProviderCityStateTotal Paid
PENINSULA HOSPITALIST ASSOCIATES, INC. BURLINGAME CA $789K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,379 $22K
2019 599 $11K
2020 169 $3K
2021 274 $5K
2022 24 $698.88
2023 38 $601.64
2024 51 $950.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 592 592 $17K
D1120 Prophylaxis - child 247 247 $6K
D0220 Intraoral - periapical first radiographic image 500 500 $5K
D0274 Bitewings - four radiographic images 184 184 $5K
D1208 Topical application of fluoride, excluding varnish 492 492 $4K
D0230 Intraoral - periapical each additional radiographic image 477 475 $3K
D1110 Prophylaxis - adult 42 42 $2K