Medicaid Provider Spending

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

KIDSHINE KAILUA LLC

NPI: 1679292981 · KAILUA, HI 96734 · Pediatric Dentist · NPI assigned 08/22/2022

$29K
Total Medicaid Paid
1,245
Total Claims
1,236
Beneficiaries
9
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHING, DAVID (CEO)
NPI Enumeration Date08/22/2022

Related Entities

Other providers sharing the same authorized official: CHING, DAVID

ProviderCityStateTotal Paid
DAVID C. CHING,D.M.D.,LLC PEARL CITY HI $5.10M
KIDSHINE LIHUE LLC LIHUE HI $26K
KIDSHINE HONOLULU LLC HONOLULU HI $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 336 $8K
2024 909 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 297 297 $8K
D1206 Topical application of fluoride varnish 278 278 $7K
D0120 Periodic oral evaluation - established patient 213 213 $6K
D0272 Bitewings - two radiographic images 115 115 $2K
D0220 Intraoral - periapical first radiographic image 166 166 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 29 28 $2K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $1K
D0240 47 47 $898.40
D0230 Intraoral - periapical each additional radiographic image 72 64 $700.00