Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROLAND NISHIOKA, DMD, INC.

NPI: 1558488312 · PEARL CITY, HI 96782 · General Practice Dentistry · NPI assigned 03/24/2007

$28K
Total Medicaid Paid
765
Total Claims
761
Beneficiaries
6
Codes Billed
2023-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialNISHIOKA, ROLAND (PRESIDENT)
NPI Enumeration Date03/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 225 $8K
2024 540 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 258 254 $11K
D0210 Intraoral - complete series of radiographic images 93 93 $5K
D1206 Topical application of fluoride varnish 196 196 $5K
D0150 Comprehensive oral evaluation - new or established patient 111 111 $4K
D0120 Periodic oral evaluation - established patient 95 95 $3K
D0220 Intraoral - periapical first radiographic image 12 12 $144.00