Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALOHA DENTAL CENTER

NPI: 1407162423 · AIEA, HI 96701 · General Practice Dentistry · NPI assigned 08/27/2010

$20K
Total Medicaid Paid
1,032
Total Claims
946
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, BENJAMIN (PRESIDENT)
NPI Enumeration Date08/27/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 316 $6K
2019 183 $4K
2020 153 $4K
2021 40 $910.00
2023 189 $3K
2024 151 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 320 315 $9K
D0220 Intraoral - periapical first radiographic image 490 478 $5K
D9110 26 26 $2K
D0230 Intraoral - periapical each additional radiographic image 115 46 $1K
D1110 Prophylaxis - adult 29 29 $1K
D0274 Bitewings - four radiographic images 24 24 $706.56
D1206 Topical application of fluoride varnish 28 28 $660.24