Dumbrique Dental Clinic

Dumbrique Dental Clinic was paid $48K by Medicaid between Oct 2018 and Dec 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoDUMBRIQUE DENTAL CLINIC
WAIPAHU, HI 96797

33aNPI1538641337assigned 08/29/2018

33bProvider typeDentist

28Total paid$48K

24GClaims2,406

24DCodes billed8

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#21 of 42

Median peer was paid$43K

This provider vs. median1.1×

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	215	$3K
2019	663	$12K
2020	76	$1K
2021	51	$874.52
2022	85	$1K
2023	600	$13K
2024incomplete	716	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	434	434	$11K
D1110	Prophylaxis - adult	23%	330	330	$11K
D0274	Bitewings - four radiographic images	16%	291	291	$8K
D1206	Topical application of fluoride varnish	15%	333	333	$7K
D0230	Intraoral - periapical each additional radiographic image	8.3%	519	347	$4K
D1208	Topical application of fluoride, excluding varnish	5.7%	222	222	$3K
D0220	Intraoral - periapical first radiographic image	5.3%	233	232	$3K
D1120	Dental cleaning, childProphylaxis - child	2.4%	44	44	$1K

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 officialDUMBRIQUE, CELIA (DENTIST)