Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC

NPI: 1407391824 · HONOLULU, HI 96826 · Prosthetic/Orthotic Supplier · NPI assigned 12/20/2016

$4K
Total Medicaid Paid
50
Total Claims
27
Beneficiary Records
2
Codes Billed
2024-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialNGUYEN, RICHARD (MANAGER)
NPI Enumeration Date12/20/2016

Related Entities

Other providers sharing the same authorized official: NGUYEN, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 50 $4K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 24 13 $3K
L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each 26 14 $994.65