Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HONOLULU › UEHARA FAMILY COSMETIC DENTISTRY

UEHARA FAMILY COSMETIC DENTISTRY

NPI: 1629218995 · HONOLULU, HI 96814 · General Practice Dentistry · NPI assigned 02/26/2009

$918.72
Total Medicaid Paid
48
Total Claims
48
Beneficiaries
2
Codes Billed
2018-05
First Month
2021-12
Last Month

Provider Details

Authorized OfficialUEHARA, GARRET (OWNER/DENTIST)
NPI Enumeration Date02/26/2009

Related Entities

Other providers sharing the same authorized official: UEHARA, GARRET

ProviderCityStateTotal Paid
GARRET K. UEHARA, DDS INC. DBA HILO HI $3.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $399.36
2021 24 $519.36

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 24 24 $698.88
D1208 Topical application of fluoride, excluding varnish 24 24 $219.84