Dental
San Diego Family Dentistry , INC
San Diego Family Dentistry , INC was paid $69K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoSAN DIEGO FAMILY DENTISTRY , INC
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1669702619assigned 01/13/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims3,625
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#25 of 63
Median peer was paid$33K
This provider vs. median2.1×
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 | 825 | $12K | |
| 2019 | 375 | $7K | |
| 2020 | 231 | $5K | |
| 2021 | 578 | $11K | |
| 2022 | 427 | $7K | |
| 2023 | 760 | $16K | |
| 2024incomplete | 429 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 1,283 | 1,281 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 898 | 897 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 750 | 730 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 217 | 217 | $6K |
| D1110 | Prophylaxis - adult | 6.1% | 115 | 115 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 307 | 284 | $2K |
| D0274 | Bitewings - four radiographic images | 1.7% | 43 | 43 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $231.84 |
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 officialSAN DIEGO, MA EMERITA (DENTIST)