Dental
SKPD 2 LLC
SKPD 2 LLC was paid $235K by Medicaid between Aug 2024 and Dec 2024, across 14 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 46% of everything it billed.
33Billing provider infoSKPD 2 LLC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1710739867assigned 04/03/2024
33bProvider typePediatric Dentist
28Total paid$235K
24GClaims4,867
24DCodes billed14
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#24 of 35
Median peer was paid$411K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 4,867 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 46% | 674 | 148 | $108K |
| D2394 | 11% | 138 | 55 | $27K | |
| D1206 | Topical application of fluoride varnish | 7.4% | 674 | 674 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 570 | 570 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 533 | 533 | $15K |
| D0330 | Panoramic radiographic image | 4.6% | 200 | 200 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 656 | 656 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 716 | 621 | $7K |
| D0274 | Bitewings - four radiographic images | 3.0% | 212 | 212 | $7K |
| D0272 | Bitewings - two radiographic images | 2.5% | 307 | 307 | $6K |
| D2335 | 2.1% | 35 | 17 | $5K | |
| D1110 | Prophylaxis - adult | 1.7% | 96 | 96 | $4K |
2 more codes
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 officialRAWSON, AUDREY MAE (OWNER)