HAWAIIAN ISLAND DENTAL, INC.
NPI: 1316278906
· LIHUE, HI 96766
· 1223G0001X
$870K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,332 |
$132K |
| 2019 |
3,090 |
$87K |
| 2020 |
7,680 |
$245K |
| 2021 |
10,002 |
$281K |
| 2022 |
868 |
$21K |
| 2023 |
1,524 |
$60K |
| 2024 |
1,093 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
3,086 |
3,086 |
$112K |
| D0274 |
|
2,117 |
2,117 |
$88K |
| D1120 |
|
2,484 |
2,484 |
$81K |
| D0230 |
|
6,487 |
3,197 |
$75K |
| D0220 |
|
3,788 |
3,746 |
$59K |
| D2392 |
|
781 |
474 |
$51K |
| D9230 |
|
872 |
776 |
$49K |
| D1110 |
|
946 |
946 |
$46K |
| D2930 |
|
413 |
236 |
$39K |
| D0330 |
|
498 |
498 |
$36K |
| D1206 |
|
1,803 |
1,803 |
$29K |
| D2391 |
|
446 |
257 |
$29K |
| D0140 |
|
632 |
621 |
$23K |
| D2150 |
|
326 |
200 |
$19K |
| D2393 |
|
148 |
89 |
$19K |
| D1208 |
|
1,430 |
1,430 |
$17K |
| D0272 |
|
673 |
673 |
$17K |
| D7140 |
|
233 |
158 |
$16K |
| D7240 |
|
42 |
13 |
$13K |
| D2160 |
|
130 |
87 |
$10K |
| D7210 |
|
61 |
39 |
$9K |
| D1351 |
|
185 |
89 |
$7K |
| D0150 |
|
179 |
179 |
$7K |
| D0145 |
|
148 |
148 |
$6K |
| D0210 |
|
76 |
76 |
$5K |
| D1354 |
|
527 |
118 |
$4K |
| D2140 |
|
64 |
32 |
$3K |
| D9110 |
|
14 |
12 |
$834.12 |