Dental
Minoaka Dental LLC
Minoaka Dental LLC was paid $7K by Medicaid between Jun 2024 and Oct 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 40% of everything it billed.
33Billing provider infoMINOAKA DENTAL LLC
LIHUE, HI 96766
LIHUE, HI 96766
33aNPI1881327633assigned 07/07/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims154
24DCodes billed6
24AFirst – last monthJun 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#52 of 63
Median peer was paid$33K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 154 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 40% | 62 | 62 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 29% | 26 | 26 | $2K |
| D1110 | Prophylaxis - adult | 21% | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 5.1% | 13 | 13 | $347.36 |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 13 | 13 | $211.25 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 12 | 12 | $143.40 |
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 officialEGHBARIEH, AMEER (DENTIST)