Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Hawaii Dental Clinic Lanai

Hawaii Dental Clinic Lanai was paid $176K by Medicaid between Jan 2018 and Jul 2024, across 15 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 36% of everything it billed.

33Billing provider infoHAWAII DENTAL CLINIC LANAI
LANAI CITY, HI 96763
33aNPI1801208178assigned 05/21/2014
33bProvider typeDentist
28Total paid$176K
24GClaims8,012
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#12 of 42
Median peer was paid$43K
This provider vs. median4.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WONG, LISA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20184,629$103K
20191,422$31K
2020828$20K
2021642$11K
2022107$2K
2023107$2K
2024incomplete277$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 36% 2,186 1,965 $63K
D0220 Intraoral - periapical first radiographic image 13% 2,073 1,942 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.7% 482 482 $15K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.1% 103 71 $14K
D1120 Dental cleaning, childProphylaxis - child 6.9% 422 422 $12K
D0274 Bitewings - four radiographic images 6.4% 327 327 $11K
D0230 Intraoral - periapical each additional radiographic image 5.2% 1,144 867 $9K
D1206 Topical application of fluoride varnish 4.0% 628 628 $7K
D1110 Prophylaxis - adult 3.6% 178 178 $6K
D0150 Comprehensive oral evaluation - new or established patient 2.7% 159 159 $5K
D0330 Panoramic radiographic image 2.6% 102 101 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.4% 54 29 $3K
3 more codes
D7140 Extraction, erupted tooth or exposed root <1% 13 $900.80
D1208 Topical application of fluoride, excluding varnish <1% 129 $859.10
D0210 Intraoral - complete series of radiographic images <1% 12 $698.88

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 officialWONG, LISA (MEMBER)
Same official

Other billing entities under WONG, LISA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.