Dental
Mill Town Dental Clinic, LLC
Mill Town Dental Clinic, LLC was paid $299K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoMILL TOWN DENTAL CLINIC, LLC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1194851923assigned 02/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$299K
24GClaims15,054
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#15 of 63
Median peer was paid$33K
This provider vs. median9.1×
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 | 2,708 | $54K | |
| 2019 | 2,204 | $47K | |
| 2020 | 1,619 | $29K | |
| 2021 | 1,988 | $36K | |
| 2022 | 1,689 | $30K | |
| 2023 | 2,574 | $49K | |
| 2024incomplete | 2,272 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 2,233 | 2,233 | $62K |
| D1110 | Prophylaxis - adult | 15% | 1,230 | 1,230 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,334 | 1,334 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 2,473 | 2,472 | $32K |
| D0274 | Bitewings - four radiographic images | 9.8% | 1,138 | 1,138 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 3,774 | 2,094 | $27K |
| D0272 | Bitewings - two radiographic images | 6.8% | 1,116 | 1,115 | $20K |
| D2140 | 3.9% | 305 | 139 | $12K | |
| D0330 | Panoramic radiographic image | 3.8% | 263 | 263 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 191 | 107 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 254 | 254 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 637 | 621 | $7K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 1.0% | 106 | $3K |
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 officialCABABAT, MARILOU (DENTIST)