Dental
Pedodontic Associates, INC
Pedodontic Associates, INC was paid $259K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoPEDODONTIC ASSOCIATES, INC
AIEA, HI 96701
AIEA, HI 96701
33aNPI1285603373assigned 03/14/2006
33bProvider typePediatric Dentist
28Total paid$259K
24GClaims12,446
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#22 of 35
Median peer was paid$411K
This provider vs. median0.6×
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 | 3,576 | $73K | |
| 2019 | 2,902 | $65K | |
| 2020 | 474 | $11K | |
| 2022 | 546 | $9K | |
| 2023 | 1,519 | $27K | |
| 2024incomplete | 3,429 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 3,403 | 3,403 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 2,717 | 2,717 | $76K |
| D1206 | Topical application of fluoride varnish | 19% | 2,840 | 2,840 | $49K |
| D0272 | Bitewings - two radiographic images | 6.4% | 862 | 862 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 851 | 849 | $10K |
| D0274 | Bitewings - four radiographic images | 2.4% | 209 | 209 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 591 | 586 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 876 | 876 | $4K |
| D1110 | Prophylaxis - adult | <1% | 40 | 40 | $1K |
| D1354 | <1% | 57 | 17 | $615.60 |
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 (D.D.S. / HIPPA PRIVACY-SECURITY OF.)
| Provider | Location | Paid |
|---|---|---|
| Pedodontic Associates INC | Kahului, HI | $1.41M |
| Pedodontic Associates INC | Honolulu, HI | $971K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.