PEDODONTIC ASSOCIATES INC
NPI: 1265419758
· KAHULUI, HI 96732
· 1223P0221X
$1.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13,435 |
$392K |
| 2019 |
10,975 |
$343K |
| 2020 |
2,950 |
$84K |
| 2022 |
3,270 |
$83K |
| 2023 |
7,680 |
$224K |
| 2024 |
9,159 |
$281K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
9,922 |
9,922 |
$355K |
| D1120 |
|
8,970 |
8,970 |
$342K |
| D1206 |
|
7,688 |
7,688 |
$150K |
| D0272 |
|
4,928 |
4,928 |
$128K |
| D0274 |
|
2,399 |
2,399 |
$123K |
| D0220 |
|
4,565 |
4,545 |
$77K |
| D0230 |
|
3,801 |
3,688 |
$58K |
| D9230 |
|
683 |
664 |
$39K |
| D2930 |
|
284 |
126 |
$30K |
| D1110 |
|
530 |
530 |
$28K |
| D2150 |
|
319 |
210 |
$21K |
| D0330 |
|
222 |
222 |
$18K |
| D1208 |
|
2,460 |
2,460 |
$14K |
| D0140 |
|
178 |
173 |
$6K |
| D2392 |
|
42 |
28 |
$6K |
| D2140 |
|
93 |
79 |
$5K |
| D3220 |
|
47 |
27 |
$4K |
| D1354 |
|
338 |
128 |
$2K |