Medicaid Provider Spending

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

KIHEI DENTISTS LLC

NPI: 1215409263 · KIHEI, HI 96753 · Dentist · NPI assigned 12/31/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more

$89K
Total Medicaid Paid
2,738
Total Claims
2,311
Beneficiaries
12
Codes Billed
2020-08
First Month
2022-09
Last Month

Provider Details

Authorized OfficialWONG, LISA (MANAGER)
NPI Enumeration Date12/31/2018

Related Entities

Other providers sharing the same authorized official: WONG, LISA

ProviderCityStateTotal Paid
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $6.78B
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LONG BEACH CA $79.06M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH GRANADA HILLS CA $78.60M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CERRITOS CA $75.21M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH TORRANCE CA $71.84M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CHATSWORTH CA $71.46M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH GARDENA CA $69.97M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CULVER CITY CA $68.60M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $65.94M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $59.42M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $58.34M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LONG BEACH CA $52.40M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH COMPTON CA $51.13M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $50.91M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH ARCADIA CA $45.88M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $45.32M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LANCASTER CA $43.67M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH COVINA CA $43.34M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH PALMDALE CA $40.48M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH SAN PEDRO CA $39.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 534 $17K
2021 1,740 $59K
2022 464 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 898 763 $33K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 152 79 $23K
D0220 Intraoral - periapical first radiographic image 640 602 $10K
D0230 Intraoral - periapical each additional radiographic image 506 352 $6K
D1206 Topical application of fluoride varnish 218 218 $3K
D0120 Periodic oral evaluation - established patient 86 86 $3K
D1120 Prophylaxis - child 72 72 $2K
D0274 Bitewings - four radiographic images 50 50 $2K
D0150 Comprehensive oral evaluation - new or established patient 50 50 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 30 12 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $1K
D1110 Prophylaxis - adult 15 15 $719.32