KALIHI-PALAMA HEALTH CENTER DENTAL DEPARTMENT
NPI: 1518009422
· HONOLULU, HI 96817
· General Practice Dentistry
· NPI assigned 02/14/2007
$1.34M
Total Medicaid Paid
Provider Details
| Authorized Official | LARSON, KEITH (DENTAL DIRECTOR) |
| Parent Organization | KALIHI-PALAMA HEALTH CENTER |
| NPI Enumeration Date | 02/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
483 |
$136K |
| 2020 |
1,796 |
$515K |
| 2021 |
1,946 |
$567K |
| 2022 |
386 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
2,492 |
2,258 |
$748K |
| D0140 |
Limited oral evaluation - problem focused |
2,119 |
1,977 |
$590K |