Clinic
Big Island Smiles Orthodontocs LLC
Big Island Smiles Orthodontocs LLC was paid $426K by Medicaid between Jun 2020 and Jun 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoBIG ISLAND SMILES ORTHODONTOCS LLC
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1760027288assigned 11/07/2019
33bProvider typeDental Clinic/Center
28Total paid$426K
24GClaims15,040
24DCodes billed14
24AFirst – last monthJun 2020 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in Hawaii
Rank by total paid#5 of 23
Median peer was paid$52K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2020 | 2,775 | $87K | |
| 2021 | 6,798 | $189K | |
| 2022 | 5,455 | $149K | |
| 2024incomplete | 12 | $487.63 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 2,170 | 2,170 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 3,560 | 1,959 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,432 | 1,432 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 2,051 | 2,035 | $37K |
| D1206 | Topical application of fluoride varnish | 7.1% | 2,054 | 2,054 | $30K |
| D0272 | Bitewings - two radiographic images | 6.9% | 1,125 | 1,125 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.8% | 516 | 481 | $29K |
| D0274 | Bitewings - four radiographic images | 6.7% | 517 | 517 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 722 | 722 | $27K |
| D0330 | Panoramic radiographic image | 5.4% | 258 | 258 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 230 | 126 | $15K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 377 | 371 | $14K |
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 officialCHAEKAL, WON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Elite Smile Center, LLC | Kailua Kona, HI | $182K |
| Dental World Kaneohe LLC | Kaneohe, HI | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.