Clinic
Dental World Kaneohe LLC
Dental World Kaneohe LLC was paid $37K by Medicaid between Oct 2019 and Oct 2024, across 12 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 21% of everything it billed.
33Billing provider infoDENTAL WORLD KANEOHE LLC
KANEOHE, HI 96744
KANEOHE, HI 96744
33aNPI1164067682assigned 11/07/2019
33bProvider typeDental Clinic/Center
28Total paid$37K
24GClaims1,609
24DCodes billed12
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Hawaii
Rank by total paid#15 of 23
Median peer was paid$52K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 227 | $5K | |
| 2020 | 583 | $12K | |
| 2021 | 45 | $1K | |
| 2022 | 24 | $290.04 | |
| 2023 | 486 | $12K | |
| 2024incomplete | 244 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 21% | 379 | 379 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 285 | 285 | $8K |
| D1110 | Prophylaxis - adult | 16% | 160 | 160 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 200 | 200 | $5K |
| D1351 | Sealant - per tooth | 7.9% | 110 | 31 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 191 | 191 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 84 | 84 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 24 | 24 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 83 | 82 | $842.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 64 | 52 | $463.03 |
| D0274 | Bitewings - four radiographic images | 1.2% | 14 | 14 | $432.64 |
| D0272 | Bitewings - two radiographic images | <1% | 15 | 15 | $279.58 |
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 officialCHAEKAL, WON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Big Island Smiles Orthodontocs LLC | Kailua Kona, HI | $426K |
| Elite Smile Center, LLC | Kailua Kona, HI | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.