West Hawaii Dental, INC

West Hawaii Dental, INC was paid $31K by Medicaid between Jan 2018 and Apr 2018, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoWEST HAWAII DENTAL, INC
KEALAKEKUA, HI 96750

33aNPI1619102084assigned 05/28/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$31K

24GClaims1,047

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other General Practice Dentistry providers in Hawaii

Rank by total paid#34 of 63

Median peer was paid$33K

This provider vs. median0.9×

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	1,047	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	21%	119	70	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	146	146	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	67	45	$4K
D0274	Bitewings - four radiographic images	13%	94	94	$4K
D1120	Dental cleaning, childProphylaxis - child	11%	97	97	$3K
D0230	Intraoral - periapical each additional radiographic image	9.6%	250	126	$3K
D0220	Intraoral - periapical first radiographic image	7.2%	137	135	$2K
D1110	Prophylaxis - adult	5.3%	32	32	$2K
D1208	Topical application of fluoride, excluding varnish	1.8%	105	105	$563.85

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 officialAULT, GARY (PRESIDENT)