MINOAKA DENTAL LLC
NPI: 1881327633
· LIHUE, HI 96766
· General Practice Dentistry
· NPI assigned 07/07/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
154 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
62 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$2K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$347.36 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$211.25 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$143.40 |