MILL TOWN DENTAL CLINIC, LLC
NPI: 1194851923
· WAIPAHU, HI 96797
· 1223G0001X
$299K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,708 |
$54K |
| 2019 |
2,204 |
$47K |
| 2020 |
1,619 |
$29K |
| 2021 |
1,988 |
$36K |
| 2022 |
1,689 |
$30K |
| 2023 |
2,574 |
$49K |
| 2024 |
2,272 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,233 |
2,233 |
$62K |
| D1110 |
|
1,230 |
1,230 |
$43K |
| D1120 |
|
1,334 |
1,334 |
$34K |
| D1208 |
|
2,473 |
2,472 |
$32K |
| D0274 |
|
1,138 |
1,138 |
$29K |
| D0230 |
|
3,774 |
2,094 |
$27K |
| D0272 |
|
1,116 |
1,115 |
$20K |
| D2140 |
|
305 |
139 |
$12K |
| D0330 |
|
263 |
263 |
$11K |
| D2150 |
|
191 |
107 |
$10K |
| D0150 |
|
254 |
254 |
$8K |
| D0220 |
|
637 |
621 |
$7K |
| D0140 |
|
106 |
106 |
$3K |