Managed care
Wahiawa Tokunaga Family Dentistry, LLC
Wahiawa Tokunaga Family Dentistry, LLC was paid $23K by Medicaid between Jun 2018 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoWAHIAWA TOKUNAGA FAMILY DENTISTRY, LLC
WAHIAWA, HI 96786
WAHIAWA, HI 96786
33aNPI1710270772assigned 05/24/2011
33bProvider typeHealth Maintenance Organization
28Total paid$23K
24GClaims996
24DCodes billed8
24AFirst – last monthJun 2018 – Oct 2024
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 | 25 | $273.00 | |
| 2019 | 14 | $152.88 | |
| 2021 | 26 | $283.92 | |
| 2023 | 395 | $9K | |
| 2024incomplete | 536 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 119 | 119 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 19% | 371 | 355 | $4K |
| D1206 | Topical application of fluoride varnish | 15% | 138 | 138 | $3K |
| D0140 | Limited oral evaluation - problem focused | 11% | 81 | 78 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 42 | 42 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 68 | 68 | $2K |
| D0274 | Bitewings - four radiographic images | 7.3% | 53 | 53 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 124 | 111 | $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 officialSOUSA, KELLI (RECEPTIONIST)