Ota, Garrett

Ota, Garrett was paid $17K by Medicaid between Jul 2020 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.

33Billing provider infoOTA, GARRETT
HILO, HI 96720

33aNPI1760511026assigned 03/05/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims664

24DCodes billed7

24AFirst – last monthJul 2020 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Hawaii

Rank by total paid#41 of 63

Median peer was paid$33K

This provider vs. median0.5×

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	88	$2K
2021	195	$4K
2022	84	$2K
2023	170	$5K
2024incomplete	127	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	54%	256	256	$9K
D1110	Prophylaxis - adult	15%	50	50	$2K
D0220	Intraoral - periapical first radiographic image	14%	157	153	$2K
D0272	Bitewings - two radiographic images	5.4%	42	42	$910.00
D1208	Topical application of fluoride, excluding varnish	5.2%	66	66	$876.09
D0230	Intraoral - periapical each additional radiographic image	4.9%	80	75	$836.50
D1120	Dental cleaning, childProphylaxis - child	2.0%	13	13	$336.80

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.