Lyle T. Tenjoma DDS, MSD

Lyle T. Tenjoma DDS, MSD was paid $7K by Medicaid between Jan 2024 and Feb 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoLYLE T. TENJOMA DDS, MSD
HONOLULU, HI 96814

33aNPI1609256098assigned 06/01/2015

33bProvider typeDentist

28Total paid$7K

24GClaims273

24DCodes billed8

24AFirst – last monthJan 2024 – Feb 2024

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#30 of 42

Median peer was paid$43K

This provider vs. median0.2×

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
2024incomplete	273	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	26%	42	42	$2K
D1206	Topical application of fluoride varnish	18%	51	51	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	35	35	$1K
D0140	Limited oral evaluation - problem focused	12%	25	25	$829.44
D0220	Intraoral - periapical first radiographic image	9.7%	57	57	$672.00
D0150	Comprehensive oral evaluation - new or established patient	7.1%	12	12	$491.04
D0274	Bitewings - four radiographic images	6.4%	14	14	$439.32
D0230	Intraoral - periapical each additional radiographic image	5.7%	37	37	$390.96

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 officialTENJOMA, LYLE (OWNER)

Parent organizationLYLE T. TENJOMA DDS, MSD