Hawaii Dental Group, INC.

Hawaii Dental Group, INC. was paid $12.46M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.

33Billing provider infoHAWAII DENTAL GROUP, INC.
HONOLULU, HI 96813

33aNPI1205992922assigned 12/28/2006

33bProvider typeEndodontist

28Total paid$12.46M

24GClaims334,255

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Endodontist providers in Hawaii

Rank by total paid#1 of 8

Median peer was paid$36K

This provider vs. median347×

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	37,210	$1.42M
2019	39,583	$1.70M
2020	34,482	$1.33M
2021	47,537	$1.64M
2022	57,364	$1.90M
2023	65,841	$2.41M
2024incomplete	52,238	$2.07M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	14%	45,588	45,585	$1.69M
D2930	Prefabricated stainless steel crown - primary tooth	13%	15,224	4,872	$1.63M
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	38,999	38,998	$1.38M
D1351	Sealant - per tooth	7.1%	21,006	5,982	$880K
D0274	Bitewings - four radiographic images	6.6%	16,047	16,047	$820K
D1206	Topical application of fluoride varnish	6.5%	42,771	42,767	$810K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.9%	9,100	5,249	$729K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.8%	10,680	10,047	$603K
D0220	Intraoral - periapical first radiographic image	4.6%	33,856	33,660	$570K
D0230	Intraoral - periapical each additional radiographic image	4.1%	34,781	30,066	$508K
D0272	Bitewings - two radiographic images	3.1%	15,390	15,390	$392K
D0150	Comprehensive oral evaluation - new or established patient	3.0%	9,966	9,966	$371K

22 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	2.7%	4,718	$332K
D1110	Prophylaxis - adult	2.5%	6,033	$315K
D7140	Extraction, erupted tooth or exposed root	2.4%	4,305	$297K
D0140	Limited oral evaluation - problem focused	1.6%	5,355	$196K
D0330	Panoramic radiographic image	1.6%	2,596	$195K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	1.5%	1,147	$186K
D7230		<1%	395	$117K
D9310		<1%	1,480	$98K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	720	$60K
D1354		<1%	5,843	$51K
D0145	Oral evaluation for a patient under three years of age	<1%	1,313	$49K
D1208	Topical application of fluoride, excluding varnish	<1%	5,383	$46K
D0210	Intraoral - complete series of radiographic images	<1%	653	$40K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	272	$35K
D1510		<1%	112	$29K
D2335		<1%	68	$10K
D7240	Removal of impacted tooth - completely bony	<1%	28	$9K
D0240		<1%	300	$6K
D2332		<1%	30	$5K
D2330		<1%	39	$3K
D0270		<1%	40	$442.37
D1999		0%	17	$0.00

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 officialYIM, ERROL (PRESIDENT)

Parent organizationHAWAII DENTAL GROUP, INC.