Dental
Kapolei Family Dental Corporation
Kapolei Family Dental Corporation was paid $43K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoKAPOLEI FAMILY DENTAL CORPORATION
KAPOLEI, HI 96707
KAPOLEI, HI 96707
33aNPI1114155413assigned 06/24/2009
33bProvider typeDentist
28Total paid$43K
24GClaims2,534
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Dentist providers in Hawaii
Rank by total paid#22 of 42
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2018 | 1,379 | $22K | |
| 2019 | 599 | $11K | |
| 2020 | 169 | $3K | |
| 2021 | 274 | $5K | |
| 2022 | 24 | $698.88 | |
| 2023 | 38 | $601.64 | |
| 2024incomplete | 51 | $950.78 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 592 | 592 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 247 | 247 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 500 | 500 | $5K |
| D0274 | Bitewings - four radiographic images | 11% | 184 | 184 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 492 | 492 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 477 | 475 | $3K |
| D1110 | Prophylaxis - adult | 3.6% | 42 | 42 | $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 officialLIU, RICHARD (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Peninsula Hospitalist Associates, INC. | Burlingame, CA | $789K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.