Medicaid Provider Spending

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

WAHIAWA TOKUNAGA FAMILY DENTISTRY, LLC

NPI: 1710270772 · WAHIAWA, HI 96786 · Health Maintenance Organization · NPI assigned 05/24/2011

$23K
Total Medicaid Paid
996
Total Claims
964
Beneficiaries
8
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSOUSA, KELLI (RECEPTIONIST)
NPI Enumeration Date05/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $273.00
2019 14 $152.88
2021 26 $283.92
2023 395 $9K
2024 536 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 119 119 $5K
D0220 Intraoral - periapical first radiographic image 371 355 $4K
D1206 Topical application of fluoride varnish 138 138 $3K
D0140 Limited oral evaluation - problem focused 81 78 $3K
D0210 Intraoral - complete series of radiographic images 42 42 $2K
D0120 Periodic oral evaluation - established patient 68 68 $2K
D0274 Bitewings - four radiographic images 53 53 $2K
D0230 Intraoral - periapical each additional radiographic image 124 111 $1K