Dental
Hawaiian Island Dental, INC.
Hawaiian Island Dental, INC. was paid $870K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoHAWAIIAN ISLAND DENTAL, INC.
LIHUE, HI 96766
LIHUE, HI 96766
33aNPI1316278906assigned 01/20/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$870K
24GClaims28,589
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#7 of 63
Median peer was paid$33K
This provider vs. median26×
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 | 4,332 | $132K | |
| 2019 | 3,090 | $87K | |
| 2020 | 7,680 | $245K | |
| 2021 | 10,002 | $281K | |
| 2022 | 868 | $21K | |
| 2023 | 1,524 | $60K | |
| 2024incomplete | 1,093 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,086 | 3,086 | $112K |
| D0274 | Bitewings - four radiographic images | 10% | 2,117 | 2,117 | $88K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 2,484 | 2,484 | $81K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 6,487 | 3,197 | $75K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 3,788 | 3,746 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 781 | 474 | $51K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 872 | 776 | $49K |
| D1110 | Prophylaxis - adult | 5.3% | 946 | 946 | $46K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.5% | 413 | 236 | $39K |
| D0330 | Panoramic radiographic image | 4.1% | 498 | 498 | $36K |
| D1206 | Topical application of fluoride varnish | 3.4% | 1,803 | 1,803 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 446 | 257 | $29K |
16 more codes
| D0140 | Limited oral evaluation - problem focused | 2.7% | 632 | $23K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.2% | 326 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 148 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 1,430 | $17K |
| D0272 | Bitewings - two radiographic images | 1.9% | 673 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 233 | $16K |
| D7240 | Removal of impacted tooth - completely bony | 1.5% | 42 | $13K |
| D2160 | 1.2% | 130 | $10K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 61 | $9K |
| D1351 | Sealant - per tooth | <1% | 185 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 179 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 148 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 76 | $5K |
| D1354 | <1% | 527 | $4K | |
| D2140 | <1% | 64 | $3K | |
| D9110 | <1% | 14 | $834.12 |
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 officialJAUREQUI, RANDALL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kuhio Pediatric Dental LLC | Lihue, HI | $925K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.