Medicaid Provider Spending

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

NALU DENTAL LLC

NPI: 1184097677 · KAUNAKAKAI, HI 96748 · Dentist · NPI assigned 11/05/2015

$89K
Total Medicaid Paid
3,235
Total Claims
3,232
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHUNG, BOKI (OWNER)
NPI Enumeration Date11/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 735 $18K
2019 582 $16K
2020 280 $8K
2021 459 $13K
2022 321 $9K
2023 419 $12K
2024 439 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,201 1,201 $45K
D1120 Prophylaxis - child 800 800 $27K
D1208 Topical application of fluoride, excluding varnish 1,136 1,136 $16K
D0220 Intraoral - periapical first radiographic image 74 71 $1K
D0230 Intraoral - periapical each additional radiographic image 24 24 $265.96