Sakima Roberts, Ginelle

Sakima Roberts, Ginelle was paid $129K by Medicaid between Jan 2018 and Nov 2018, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.

33Billing provider infoSAKIMA ROBERTS, GINELLE
KEALAKEKUA, HI 96750

33aNPI1205089745assigned 10/28/2008

33bProvider typePediatric Dentist

28Total paid$129K

24GClaims6,479

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatric Dentist providers in Hawaii

Rank by total paid#25 of 35

Median peer was paid$411K

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	6,479	$129K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	18%	915	865	$24K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	1,061	1,006	$21K
D1351	Sealant - per tooth	14%	831	101	$18K
D1206	Topical application of fluoride varnish	13%	1,112	1,048	$17K
D0272	Bitewings - two radiographic images	7.9%	552	526	$10K
D0274	Bitewings - four radiographic images	5.9%	303	280	$8K
D1110	Prophylaxis - adult	5.1%	204	193	$7K
D0230	Intraoral - periapical each additional radiographic image	4.8%	668	237	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.0%	90	53	$5K
D0330	Panoramic radiographic image	3.8%	188	158	$5K
D0220	Intraoral - periapical first radiographic image	3.0%	362	335	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.9%	130	127	$3K

3 more codes

D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	19	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	26	$790.00
D0140	Limited oral evaluation - problem focused	<1%	18	$433.90

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.