DENTAL WORLD KANEOHE LLC
NPI: 1164067682
· KANEOHE, HI 96744
· Dental Clinic/Center
· NPI assigned 11/07/2019
Provider Details
| Authorized Official | CHAEKAL, WON (OWNER) |
| NPI Enumeration Date | 11/07/2019 |
Related Entities
Other providers sharing the same authorized official: CHAEKAL, WON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
227 |
$5K |
| 2020 |
583 |
$12K |
| 2021 |
45 |
$1K |
| 2022 |
24 |
$290.04 |
| 2023 |
486 |
$12K |
| 2024 |
244 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
379 |
379 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
285 |
285 |
$8K |
| D1110 |
Prophylaxis - adult |
160 |
160 |
$6K |
| D1120 |
Prophylaxis - child |
200 |
200 |
$5K |
| D1351 |
Sealant - per tooth |
110 |
31 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
191 |
191 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
84 |
84 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
83 |
82 |
$842.76 |
| D0230 |
Intraoral - periapical each additional radiographic image |
64 |
52 |
$463.03 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$432.64 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$279.58 |