Dental
Wahiawa Family Dental Care, LLP
Wahiawa Family Dental Care, LLP was paid $851K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoWAHIAWA FAMILY DENTAL CARE, LLP
WAHIAWA, HI 96786
WAHIAWA, HI 96786
33aNPI1932288008assigned 11/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$851K
24GClaims35,556
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Hawaii
Rank by total paid#8 of 63
Median peer was paid$33K
This provider vs. median26×
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 | 8,157 | $169K | |
| 2019 | 6,299 | $152K | |
| 2020 | 2,848 | $66K | |
| 2021 | 4,226 | $100K | |
| 2022 | 4,118 | $97K | |
| 2023 | 5,540 | $143K | |
| 2024incomplete | 4,368 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 9,801 | 9,801 | $280K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 7,381 | 7,381 | $194K |
| D1110 | Prophylaxis - adult | 11% | 2,553 | 2,553 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 8,087 | 8,087 | $90K |
| D1206 | Topical application of fluoride varnish | 7.9% | 2,949 | 2,949 | $68K |
| D0274 | Bitewings - four radiographic images | 7.1% | 2,340 | 2,340 | $60K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 891 | 867 | $26K |
| D0330 | Panoramic radiographic image | 1.6% | 291 | 291 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 234 | 107 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 712 | 701 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 177 | 177 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | 14 | $2K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 122 | $2K |
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 officialSATO, LARA (OPERATIONS MANAGER)