Lisa Valderueda, DMD, INC.

Lisa Valderueda, DMD, INC. was paid $135K by Medicaid between Apr 2019 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoLISA VALDERUEDA, DMD, INC.
WAIPAHU, HI 96797

33aNPI1528548716assigned 08/16/2018

33bProvider typeDental Clinic/Center

28Total paid$135K

24GClaims5,462

24DCodes billed6

24AFirst – last monthApr 2019 – Oct 2024

Compared with peers

Next to other Dental Clinic/Center providers in Hawaii

Rank by total paid#9 of 23

Median peer was paid$52K

This provider vs. median2.6×

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
2019	886	$20K
2020	922	$20K
2021	1,065	$24K
2022	814	$18K
2023	1,035	$29K
2024incomplete	740	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	1,767	1,767	$50K
D1110	Prophylaxis - adult	19%	677	677	$25K
D1208	Topical application of fluoride, excluding varnish	16%	1,391	1,391	$21K
D0272	Bitewings - two radiographic images	13%	962	962	$18K
D1120	Dental cleaning, childProphylaxis - child	11%	585	585	$15K
D0210	Intraoral - complete series of radiographic images	3.5%	80	80	$5K

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 officialVALDERUEDA, LISA (PRESIDENT)