Princeville Dental, LLC

Princeville Dental, LLC was paid $74K by Medicaid between Jan 2018 and Mar 2023, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoPRINCEVILLE DENTAL, LLC
PRINCEVILLE, HI 96722

33aNPI1588060594assigned 11/18/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$74K

24GClaims2,532

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in Hawaii

Rank by total paid#23 of 63

Median peer was paid$33K

This provider vs. median2.2×

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	918	$26K
2019	620	$18K
2020	394	$11K
2021	220	$7K
2022	132	$4K
2023	248	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	818	818	$31K
D1120	Dental cleaning, childProphylaxis - child	25%	555	555	$19K
D1208	Topical application of fluoride, excluding varnish	9.5%	566	566	$7K
D0140	Limited oral evaluation - problem focused	8.6%	168	165	$6K
D0220	Intraoral - periapical first radiographic image	5.4%	245	241	$4K
D0274	Bitewings - four radiographic images	3.5%	61	61	$3K
D1110	Prophylaxis - adult	3.3%	47	47	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.9%	24	12	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	36	31	$429.50
D0272	Bitewings - two radiographic images	<1%	12	12	$312.00

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 officialATKIN, THOMAS (DENTIST)