Dental Care Kapolei, INC.

Dental Care Kapolei, INC. was paid $9K by Medicaid between Jan 2018 and Apr 2018, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoDENTAL CARE KAPOLEI, INC.
KAPOLEI, HI 96707

33aNPI1902951437assigned 01/24/2007

33bProvider typeDentist

28Total paid$9K

24GClaims664

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#28 of 42

Median peer was paid$43K

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
2018	664	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	94	94	$3K
D0230	Intraoral - periapical each additional radiographic image	21%	274	94	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	40	40	$1K
D0220	Intraoral - periapical first radiographic image	12%	94	94	$1K
D0274	Bitewings - four radiographic images	7.9%	27	27	$687.96
D1110	Prophylaxis - adult	5.7%	14	14	$499.20
D0272	Bitewings - two radiographic images	5.4%	25	25	$473.25
D1208	Topical application of fluoride, excluding varnish	4.6%	96	96	$399.36

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 officialARAKAWA, SCOTT (OWNER)