Medicaid Provider Spending

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

GARY K. MORITA D.D.S. INC.

NPI: 1598997470 · KAILUA, HI 96734 · General Practice Dentistry · NPI assigned 08/11/2009

$11K
Total Medicaid Paid
497
Total Claims
497
Beneficiaries
6
Codes Billed
2018-07
First Month
2019-07
Last Month

Provider Details

Authorized OfficialMORITA, GARY (DOCTOR)
NPI Enumeration Date08/11/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 362 $8K
2019 135 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 186 186 $5K
D1120 Prophylaxis - child 81 81 $2K
D0272 Bitewings - two radiographic images 77 77 $1K
D1208 Topical application of fluoride, excluding varnish 126 126 $814.16
D0210 Intraoral - complete series of radiographic images 12 12 $698.88
D1110 Prophylaxis - adult 15 15 $546.00