PEARL FAMILY DENTAL CARE, INC
NPI: 1821177924
· PEARL CITY, HI 96782
· 1223G0001X
$419K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
2,932 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
4,602 |
4,602 |
$128K |
| D1120 |
|
2,886 |
2,886 |
$75K |
| D1110 |
|
1,934 |
1,934 |
$67K |
| D1206 |
|
3,198 |
3,198 |
$58K |
| D2392 |
|
274 |
144 |
$28K |
| D0274 |
|
885 |
885 |
$22K |
| D1208 |
|
1,933 |
1,933 |
$15K |
| D2393 |
|
70 |
50 |
$9K |
| D0210 |
|
161 |
161 |
$9K |
| D0150 |
|
208 |
208 |
$7K |
| D0140 |
|
41 |
41 |
$1K |
| D0220 |
|
55 |
55 |
$585.96 |
| D0272 |
|
14 |
14 |
$265.02 |