Dental
The Queens Medical Center Dental Clinic
The Queens Medical Center Dental Clinic was paid $247K by Medicaid between Aug 2019 and Nov 2024, across 12 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 60% of everything it billed.
33Billing provider infoTHE QUEENS MEDICAL CENTER DENTAL CLINIC
HONOLULU, HI 96813
HONOLULU, HI 96813
33aNPI1306013842assigned 05/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$247K
24GClaims6,693
24DCodes billed12
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#16 of 63
Median peer was paid$33K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2019 | 224 | $7K | |
| 2020 | 438 | $20K | |
| 2021 | 1,009 | $38K | |
| 2022 | 1,172 | $42K | |
| 2023 | 2,090 | $75K | |
| 2024incomplete | 1,760 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 60% | 2,718 | 932 | $149K |
| D0140 | Limited oral evaluation - problem focused | 11% | 1,031 | 1,021 | $27K |
| D1110 | Prophylaxis - adult | 6.8% | 539 | 539 | $17K |
| D9310 | 6.4% | 455 | 443 | $16K | |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 905 | 896 | $9K |
| D0330 | Panoramic radiographic image | 3.2% | 205 | 205 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 257 | 257 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 268 | 268 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 90 | 90 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 80 | 80 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 57 | 57 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 88 | 40 | $736.16 |
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 officialUSHIJIMA, ARTHUR (PRESIDENT & CEO)