Brian Vongchanphen DDS, LLC

Brian Vongchanphen DDS, LLC was paid $12K by Medicaid between Aug 2018 and Sep 2021, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.

33Billing provider infoBRIAN VONGCHANPHEN DDS, LLC
WAHIAWA, HI 96786

33aNPI1871076455assigned 09/10/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims509

24DCodes billed5

24AFirst – last monthAug 2018 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in Hawaii

Rank by total paid#45 of 63

Median peer was paid$33K

This provider vs. median0.4×

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	259	$6K
2019	182	$5K
2020	56	$1K
2021	12	$349.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	55%	236	236	$7K
D1120	Dental cleaning, childProphylaxis - child	14%	67	67	$2K
D0272	Bitewings - two radiographic images	14%	91	91	$2K
D1110	Prophylaxis - adult	11%	36	36	$1K
D1208	Topical application of fluoride, excluding varnish	6.0%	79	79	$734.48

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 officialVONGCHANPHEN, BRIAN (DENTIST)