Bert M. Sumikawa, D.D.S., INC.

Bert M. Sumikawa, D.D.S., INC. was paid $2.13M by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoBERT M. SUMIKAWA, D.D.S., INC.
HONOLULU, HI 96814

33aNPI1669538914assigned 12/29/2006

33bProvider typePediatric Dentist

28Total paid$2.13M

24GClaims88,456

24DCodes billed18

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pediatric Dentist providers in Hawaii

Rank by total paid#8 of 35

Median peer was paid$411K

This provider vs. median5.2×

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
2018	16,423	$380K
2019	13,405	$337K
2020	9,232	$213K
2021	13,118	$315K
2022	12,667	$293K
2023	14,106	$346K
2024incomplete	9,505	$246K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	15,890	15,889	$510K
D1120	Dental cleaning, childProphylaxis - child	24%	14,803	14,803	$503K
D0220	Intraoral - periapical first radiographic image	9.8%	14,375	14,351	$208K
D1208	Topical application of fluoride, excluding varnish	9.7%	15,495	15,495	$206K
D0272	Bitewings - two radiographic images	9.2%	8,576	8,576	$195K
D0274	Bitewings - four radiographic images	7.2%	4,093	4,093	$152K
D0230	Intraoral - periapical each additional radiographic image	5.9%	10,263	10,023	$125K
D2150	Silver amalgam - two surfaces, primary or permanent	2.9%	1,100	690	$61K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.9%	666	436	$41K
D0330	Panoramic radiographic image	1.5%	484	484	$33K
D1351	Sealant - per tooth	1.4%	853	308	$30K
D1110	Prophylaxis - adult	1.3%	669	669	$28K

6 more codes

D1206	Topical application of fluoride varnish	1.2%	951	$25K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	103	$5K
D2140		<1%	43	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	54	$2K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	19	$2K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	19	$1K

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 officialSUMIKAWA, BERT (PREIDENT)