Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › KAHULUI › KAHULUI DENTISTS LLC

KAHULUI DENTISTS LLC

NPI: 1891268108 · KAHULUI, HI 96732 · Dental Clinic/Center · NPI assigned 01/09/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more

$153K
Total Medicaid Paid
5,119
Total Claims
4,884
Beneficiaries
11
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWONG, LISA (DENTIST)
NPI Enumeration Date01/09/2019

Related Entities

Other providers sharing the same authorized official: WONG, LISA

ProviderCityStateTotal Paid
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $6.78B
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LONG BEACH CA $79.06M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH GRANADA HILLS CA $78.60M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CERRITOS CA $75.21M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH TORRANCE CA $71.84M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CHATSWORTH CA $71.46M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH GARDENA CA $69.97M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH CULVER CITY CA $68.60M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $65.94M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $59.42M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $58.34M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LONG BEACH CA $52.40M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH COMPTON CA $51.13M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $50.91M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH ARCADIA CA $45.88M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA $45.32M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LANCASTER CA $43.67M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH COVINA CA $43.34M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH PALMDALE CA $40.48M
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH SAN PEDRO CA $39.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 60 $1K
2022 458 $9K
2023 2,187 $63K
2024 2,414 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 825 825 $40K
D1206 Topical application of fluoride varnish 790 790 $20K
D0120 Periodic oral evaluation - established patient 529 529 $19K
D0220 Intraoral - periapical first radiographic image 1,134 1,111 $18K
D0274 Bitewings - four radiographic images 304 304 $13K
D0150 Comprehensive oral evaluation - new or established patient 308 308 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 85 43 $11K
D0230 Intraoral - periapical each additional radiographic image 877 712 $10K
D0140 Limited oral evaluation - problem focused 192 187 $7K
D1120 Prophylaxis - child 61 61 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $1K