Medicaid Provider Spending

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

KERRY S. ISHIHARA, DDS, INC.

NPI: 1639301419 · WAHIAWA, HI 96786 · General Practice Dentistry · NPI assigned 08/12/2009

$6K
Total Medicaid Paid
287
Total Claims
287
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialISHIHARA, KERRY (GENERAL DENTIST)
NPI Enumeration Date08/12/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 287 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 117 117 $3K
D0272 Bitewings - two radiographic images 59 59 $1K
D1120 Prophylaxis - child 41 41 $1K
D1208 Topical application of fluoride, excluding varnish 70 70 $291.20