Dental
Family Dental Clinic, INC.
Family Dental Clinic, INC. was paid $136K by Medicaid between Sep 2018 and Oct 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoFAMILY DENTAL CLINIC, INC.
HONOLULU, HI 96817
HONOLULU, HI 96817
33aNPI1356492003assigned 01/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$136K
24GClaims6,046
24DCodes billed12
24AFirst – last monthSep 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#20 of 63
Median peer was paid$33K
This provider vs. median4.1×
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 | 200 | $3K | |
| 2019 | 772 | $17K | |
| 2020 | 437 | $10K | |
| 2021 | 468 | $10K | |
| 2022 | 511 | $12K | |
| 2023 | 2,601 | $55K | |
| 2024incomplete | 1,057 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,067 | 1,067 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,178 | 1,178 | $17K |
| D1110 | Prophylaxis - adult | 12% | 422 | 422 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 630 | 629 | $16K |
| D0274 | Bitewings - four radiographic images | 12% | 583 | 583 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 299 | 299 | $10K |
| D1206 | Topical application of fluoride varnish | 5.7% | 321 | 321 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 576 | 540 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 734 | 270 | $6K |
| D4355 | 4.5% | 176 | 99 | $6K | |
| D0330 | Panoramic radiographic image | 1.6% | 47 | 47 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 12 | $449.28 |
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 officialADORA, MARIA (GENERAL DENTISTRY)