Perfect Smiles Dental Center

Perfect Smiles Dental Center was paid $3K by Medicaid between Apr 2018 and Aug 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.

33Billing provider infoPERFECT SMILES DENTAL CENTER
HONOLULU, HI 96819

33aNPI1598075517assigned 10/08/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims112

24DCodes billed6

24AFirst – last monthApr 2018 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in Hawaii

Rank by total paid#57 of 63

Median peer was paid$33K

This provider vs. median0.1×

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	73	$1K
2023	26	$915.20
2024incomplete	13	$349.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	57%	51	51	$1K
D1110	Prophylaxis - adult	21%	13	13	$536.64
D1120	Dental cleaning, childProphylaxis - child	12%	12	12	$312.00
D0220	Intraoral - periapical first radiographic image	5.1%	12	12	$131.04
D0230	Intraoral - periapical each additional radiographic image	3.2%	12	12	$80.96
D1208	Topical application of fluoride, excluding varnish	1.9%	12	12	$49.92

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 officialMACAPAGAL, MARICRIS (OWNER)

Parent organizationPERFECT SMILES DENTAL CENTER