Supplier
Pediatric Orthotic and Prosthetic Services - Honolulu, LLC
Pediatric Orthotic and Prosthetic Services - Honolulu, LLC was paid $4K by Medicaid between Mar 2024 and Mar 2024, across 2 billing codes. Its largest line is L2275, Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined — 76% of everything it billed.
33Billing provider infoPEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC
HONOLULU, HI 96826
HONOLULU, HI 96826
33aNPI1407391824assigned 12/20/2016
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$4K
24GClaims50
24DCodes billed2
24AFirst – last monthMar 2024 – Mar 2024
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 | |
|---|---|---|---|
| 2024incomplete | 50 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 76% | 24 | 13 | $3K |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | 24% | 26 | 14 | $994.65 |
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 officialNGUYEN, RICHARD (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Zinfandel Dental Practice | Sacramento, CA | $4.60M |
| Buena Vista Family Medical Center, INC. | Oxnard, CA | $1.14M |
| Zinfandel Dental Practice | Rancho Cordova, CA | $787K |
| Ocean Smile Dental | Huntington Beach, CA | $9K |
| SC Dental | Westminster, CA | $743.55 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.