Clinic
Theodore E Dodson DDS, LLC
Theodore E Dodson DDS, LLC was paid $44K by Medicaid between Aug 2021 and Nov 2024, across 6 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 59% of everything it billed.
33Billing provider infoTHEODORE E DODSON DDS, LLC
KAHULUI, HI 96732
KAHULUI, HI 96732
33aNPI1861081945assigned 01/13/2021
33bProvider typeDental Clinic/Center
28Total paid$44K
24GClaims1,581
24DCodes billed6
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Hawaii
Rank by total paid#14 of 23
Median peer was paid$52K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 59 | $2K | |
| 2022 | 660 | $19K | |
| 2023 | 511 | $16K | |
| 2024incomplete | 351 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 59% | 701 | 486 | $26K |
| D9110 | 14% | 101 | 83 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 460 | 133 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 258 | 212 | $4K |
| D1110 | Prophylaxis - adult | 3.2% | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 1.9% | 33 | 33 | $843.15 |
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 officialDODSON, THEODORE (OWNER)