Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › KAILUA KONA › WALLY KOJIMA OD LLC

WALLY KOJIMA OD LLC

NPI: 1255720223 · KAILUA KONA, HI 96740 · 152W00000X

$43K
Total Medicaid Paid
2,589
Total Claims
2,093
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344 $4K
2019 156 $4K
2020 303 $9K
2021 328 $9K
2022 437 $5K
2023 575 $9K
2024 446 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 370 357 $15K
92004 205 198 $14K
92015 1,693 1,260 $9K
92014 99 95 $5K
S9999 Sales tax 180 141 $0.00
S9986 Not medically necessary svc 42 42 $0.00