Dental
King's Dental & Implant Service LLC
King's Dental & Implant Service LLC was paid $20K by Medicaid between Jul 2018 and Oct 2024, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 45% of everything it billed.
33Billing provider infoKING'S DENTAL & IMPLANT SERVICE LLC
HONOLULU, HI 96817
HONOLULU, HI 96817
33aNPI1538479142assigned 10/15/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$20K
24GClaims714
24DCodes billed9
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#39 of 63
Median peer was paid$33K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 41 | $957.32 | |
| 2019 | 516 | $15K | |
| 2020 | 60 | $1K | |
| 2021 | 59 | $1K | |
| 2024incomplete | 38 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 45% | 307 | 295 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 29% | 85 | 51 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 229 | 222 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 26 | 26 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 12 | 12 | $726.48 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 15 | 15 | $436.80 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 12 | 12 | $312.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 14 | $198.24 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | 12 | $94.64 |
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 officialFITTON, RUSSELL (OWNER)