HAWAII ENDODONTICS LLC
NPI: 1730318270
· HONOLULU, HI 96734
· Endodontist
· NPI assigned 07/06/2009
$718K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA-ROCHA, JENNY (SENIOR CREDENTIALING TEAM LEAD) |
| NPI Enumeration Date | 07/06/2009 |
Related Entities
Other providers sharing the same authorized official: GARCIA-ROCHA, JENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
98 |
$5K |
| 2019 |
57 |
$2K |
| 2020 |
244 |
$25K |
| 2021 |
673 |
$100K |
| 2022 |
140 |
$13K |
| 2023 |
1,500 |
$216K |
| 2024 |
2,495 |
$357K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
919 |
885 |
$567K |
| D9310 |
|
1,948 |
1,910 |
$124K |
| D0220 |
Intraoral - periapical first radiographic image |
2,319 |
2,161 |
$25K |
| D2950 |
|
21 |
21 |
$2K |