Dental
Pedodontic Associates INC
Pedodontic Associates INC was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoPEDODONTIC ASSOCIATES INC
KAHULUI, HI 96732
KAHULUI, HI 96732
33aNPI1265419758assigned 12/27/2005
33bProvider typePediatric Dentist
28Total paid$1.41M
24GClaims47,469
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#13 of 35
Median peer was paid$411K
This provider vs. median3.4×
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 | 13,435 | $392K | |
| 2019 | 10,975 | $343K | |
| 2020 | 2,950 | $84K | |
| 2022 | 3,270 | $83K | |
| 2023 | 7,680 | $224K | |
| 2024incomplete | 9,159 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 9,922 | 9,922 | $355K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 8,970 | 8,970 | $342K |
| D1206 | Topical application of fluoride varnish | 11% | 7,688 | 7,688 | $150K |
| D0272 | Bitewings - two radiographic images | 9.1% | 4,928 | 4,928 | $128K |
| D0274 | Bitewings - four radiographic images | 8.8% | 2,399 | 2,399 | $123K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 4,565 | 4,545 | $77K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 3,801 | 3,688 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 683 | 664 | $39K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 284 | 126 | $30K |
| D1110 | Prophylaxis - adult | 2.0% | 530 | 530 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 319 | 210 | $21K |
| D0330 | Panoramic radiographic image | 1.3% | 222 | 222 | $18K |
6 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,460 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 178 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 42 | $6K |
| D2140 | <1% | 93 | $5K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 47 | $4K |
| D1354 | <1% | 338 | $2K |
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 officialSATO, ALAN (DENTIST HIPAA PRIVACY SECURITY OFFI)
| Provider | Location | Paid |
|---|---|---|
| Pedodontic Associates INC | Honolulu, HI | $971K |
| Pedodontic Associates, INC | Aiea, HI | $259K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.