BIG ISLAND SMILES ORTHODONTOCS LLC
NPI: 1760027288
· KAILUA KONA, HI 96740
· 261QD0000X
$426K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,775 |
$87K |
| 2021 |
6,798 |
$189K |
| 2022 |
5,455 |
$149K |
| 2024 |
12 |
$487.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,170 |
2,170 |
$84K |
| D0230 |
|
3,560 |
1,959 |
$56K |
| D0120 |
|
1,432 |
1,432 |
$52K |
| D0220 |
|
2,051 |
2,035 |
$37K |
| D1206 |
|
2,054 |
2,054 |
$30K |
| D0272 |
|
1,125 |
1,125 |
$30K |
| D9230 |
|
516 |
481 |
$29K |
| D0274 |
|
517 |
517 |
$28K |
| D0150 |
|
722 |
722 |
$27K |
| D0330 |
|
258 |
258 |
$23K |
| D2392 |
|
230 |
126 |
$15K |
| D0140 |
|
377 |
371 |
$14K |
| D7140 |
|
16 |
12 |
$1K |
| D9310 |
|
12 |
12 |
$798.72 |