Dental
Leeward Pedodontix, LLC
Leeward Pedodontix, LLC was paid $4.14M by Medicaid between Jan 2018 and Aug 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoLEEWARD PEDODONTIX, LLC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1912272063assigned 03/21/2012
33bProvider typePediatric Dentist
28Total paid$4.14M
24GClaims140,034
24DCodes billed27
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#3 of 35
Median peer was paid$411K
This provider vs. median10×
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 | 31,251 | $902K | |
| 2019 | 22,597 | $670K | |
| 2020 | 18,062 | $512K | |
| 2021 | 22,651 | $621K | |
| 2022 | 20,696 | $544K | |
| 2023 | 16,101 | $515K | |
| 2024incomplete | 8,676 | $373K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 15,320 | 15,320 | $443K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 13,995 | 13,995 | $407K |
| D2161 | 9.8% | 5,247 | 1,817 | $406K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.4% | 3,277 | 1,298 | $263K |
| D0240 | 6.3% | 12,170 | 12,170 | $259K | |
| D0330 | Panoramic radiographic image | 6.0% | 4,624 | 4,622 | $247K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 19,001 | 18,902 | $227K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.3% | 3,241 | 1,280 | $218K |
| D2160 | 5.0% | 2,969 | 1,307 | $207K | |
| D0274 | Bitewings - four radiographic images | 4.8% | 6,522 | 6,522 | $199K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 1,249 | 295 | $198K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 15,665 | 15,665 | $185K |
15 more codes
| D0272 | Bitewings - two radiographic images | 4.4% | 9,415 | $184K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 13,905 | $123K |
| D1351 | Sealant - per tooth | 3.0% | 4,318 | $122K |
| D2394 | 2.8% | 601 | $116K | |
| D1110 | Prophylaxis - adult | 2.7% | 2,741 | $111K |
| D1206 | Topical application of fluoride varnish | 1.4% | 2,435 | $59K |
| D2335 | 1.1% | 444 | $47K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 716 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 927 | $29K |
| D0140 | Limited oral evaluation - problem focused | <1% | 918 | $27K |
| D2332 | <1% | 121 | $10K | |
| D2140 | <1% | 123 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 30 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 41 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 19 | $687.96 |
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 officialJUAN, CHERYLYNN (ASSISTANT FINANCIAL COORDINATOR)