Dental
Pacific Rim Dental Group, LLC
Pacific Rim Dental Group, LLC was paid $9K by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 64% of everything it billed.
33Billing provider infoPACIFIC RIM DENTAL GROUP, LLC
LIHUE, HI 96766
LIHUE, HI 96766
33aNPI1184089765assigned 12/23/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims334
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#50 of 63
Median peer was paid$33K
This provider vs. median0.3×
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 | 283 | $7K | |
| 2019 | 39 | $1K | |
| 2020 | 12 | $451.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 64% | 156 | 151 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 22% | 123 | 118 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 17 | 17 | $572.56 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 15 | 15 | $564.00 |
| D1206 | Topical application of fluoride varnish | 1.4% | 23 | 23 | $123.51 |
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 officialALLEN, TERRY (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Anesthesia Medical Professionals, PLLC | Edmond, OK | $305K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.