Dental
Pearl Family Dental Care, INC
Pearl Family Dental Care, INC was paid $419K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoPEARL FAMILY DENTAL CARE, INC
PEARL CITY, HI 96782
PEARL CITY, HI 96782
33aNPI1821177924assigned 11/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$419K
24GClaims16,261
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#13 of 63
Median peer was paid$33K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 3,837 | $78K | |
| 2019 | 2,683 | $64K | |
| 2020 | 1,145 | $27K | |
| 2021 | 1,493 | $36K | |
| 2022 | 1,384 | $32K | |
| 2023 | 2,787 | $84K | |
| 2024incomplete | 2,932 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 4,602 | 4,602 | $128K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,886 | 2,886 | $75K |
| D1110 | Prophylaxis - adult | 16% | 1,934 | 1,934 | $67K |
| D1206 | Topical application of fluoride varnish | 14% | 3,198 | 3,198 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 274 | 144 | $28K |
| D0274 | Bitewings - four radiographic images | 5.3% | 885 | 885 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 1,933 | 1,933 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 70 | 50 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 161 | 161 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 208 | 208 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 41 | 41 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 55 | 55 | $585.96 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 14 | $265.02 |
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 officialSUNSHINE, ASHLY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Soh of Texas Samson Liu PLLC | Desoto, TX | $3.60M |
| Soh of Tennessee Specialty LLC | Franklin, TN | $11K |
| Soh of Missouri Samson Liu PC | Weldon Spring, MO | $213.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.