Hsu, Hwa Pen Hans

Hsu, Hwa Pen Hans was paid $125K by Medicaid between Jan 2018 and Nov 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoHSU, HWA PEN HANS
LIHUE, HI 96766

33aNPI1295076206assigned 03/15/2013

33bProvider typePediatric Dentist

28Total paid$125K

24GClaims3,871

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Pediatric Dentist providers in Hawaii

Rank by total paid#26 of 35

Median peer was paid$411K

This provider vs. median0.3×

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	1,523	$47K
2019	1,342	$44K
2020	630	$21K
2021	376	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	1,082	1,082	$49K
D1206	Topical application of fluoride varnish	30%	1,153	1,153	$38K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	841	841	$21K
D0272	Bitewings - two radiographic images	4.2%	371	371	$5K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.3%	98	84	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	88	88	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.1%	34	25	$3K
D1351	Sealant - per tooth	1.4%	71	13	$2K
D0220	Intraoral - periapical first radiographic image	<1%	88	87	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	45	45	$220.00

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.