LYLE T. TENJOMA DDS, MSD
NPI: 1609256098
· HONOLULU, HI 96814
· Dentist
· NPI assigned 06/01/2015
Provider Details
| Authorized Official | TENJOMA, LYLE (OWNER) |
| Parent Organization | LYLE T. TENJOMA DDS, MSD |
| NPI Enumeration Date | 06/01/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
273 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
42 |
42 |
$2K |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
35 |
35 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$829.44 |
| D0220 |
Intraoral - periapical first radiographic image |
57 |
57 |
$672.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$491.04 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$439.32 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
37 |
$390.96 |