Medicaid Provider Spending

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

KOMETANI & ASSOCIATES, A PROFESSIONAL DENTAL CORPORATION

NPI: 1568601896 · HONOLULU, HI 96826 · General Practice Dentistry · NPI assigned 02/10/2009

$509.60
Total Medicaid Paid
25
Total Claims
24
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-06
Last Month

Provider Details

Authorized OfficialKOMETANI, FRANKLIN (PRESIDENT)
NPI Enumeration Date02/10/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $509.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 13 12 $378.56
D0220 Intraoral - periapical first radiographic image 12 12 $131.04