DENTAL IMPLANT ASSOCIATES, LLC
NPI: 1730588237
· HONOLULU, HI 96814
· General Practice Dentistry
· NPI assigned 08/20/2014
$433K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, TERRY (OWNER) |
| Parent Organization | DENTAL IMPLANT ASSOCIATES, LLC |
| NPI Enumeration Date | 08/20/2014 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
632 |
$54K |
| 2019 |
916 |
$106K |
| 2020 |
905 |
$92K |
| 2021 |
520 |
$47K |
| 2022 |
305 |
$24K |
| 2023 |
914 |
$79K |
| 2024 |
418 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,295 |
633 |
$183K |
| D7240 |
Removal of impacted tooth - completely bony |
483 |
233 |
$142K |
| D0140 |
Limited oral evaluation - problem focused |
1,705 |
1,647 |
$51K |
| D0330 |
Panoramic radiographic image |
1,052 |
1,041 |
$45K |
| D7230 |
|
41 |
25 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
34 |
15 |
$2K |