Medicaid Provider Spending

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

JASON M TANAKA DDS INC

NPI: 1740417559 · HONOLULU, HI 96817 · General Practice Dentistry · NPI assigned 06/18/2009

$6K
Total Medicaid Paid
167
Total Claims
167
Beneficiaries
2
Codes Billed
2023-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGUINTO, ERNEL (OFFICE MANAGER)
NPI Enumeration Date06/18/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 84 $3K
2024 83 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 98 98 $3K
D1110 Prophylaxis - adult 69 69 $3K