Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kapolei Dentists LLC

Kapolei Dentists LLC was paid $84K by Medicaid between Aug 2018 and Jun 2021, across 11 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 43% of everything it billed.

33Billing provider infoKAPOLEI DENTISTS LLC
KAPOLEI, HI 96707
33aNPI1578910568assigned 05/19/2016
33bProvider typeDentist
28Total paid$84K
24GClaims4,581
24DCodes billed11
24AFirst – last monthAug 2018 – Jun 2021
Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#18 of 42
Median peer was paid$43K
This provider vs. median2.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WONG, LISA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018477$7K
20191,606$33K
20202,011$36K
2021487$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 43% 1,283 1,132 $36K
D0220 Intraoral - periapical first radiographic image 13% 1,083 1,023 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.8% 273 273 $7K
D1206 Topical application of fluoride varnish 7.9% 527 527 $7K
D1120 Dental cleaning, childProphylaxis - child 6.7% 224 224 $6K
D0330 Panoramic radiographic image 6.4% 122 122 $5K
D0230 Intraoral - periapical each additional radiographic image 6.1% 815 652 $5K
D1110 Prophylaxis - adult 3.9% 94 94 $3K
D0274 Bitewings - four radiographic images 3.4% 116 116 $3K
D0150 Comprehensive oral evaluation - new or established patient 1.0% 30 30 $873.60
D1999 0% 14 13 $0.00

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 officialWONG, LISA (MANAGER)
Same official

Other billing entities under WONG, LISA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.