Pacific Dental Care and Denture Laboratory INC

Pacific Dental Care and Denture Laboratory INC was paid $163K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoPACIFIC DENTAL CARE AND DENTURE LABORATORY INC
HONOLULU, HI 96819

33aNPI1942317755assigned 08/25/2006

33bProvider typeDentist

28Total paid$163K

24GClaims6,991

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#14 of 42

Median peer was paid$43K

This provider vs. median3.8×

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	2,243	$50K
2019	1,429	$33K
2020	583	$13K
2021	1,023	$25K
2022	759	$17K
2023	565	$15K
2024incomplete	389	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	2,012	2,012	$57K
D1120	Dental cleaning, childProphylaxis - child	16%	996	996	$25K
D0274	Bitewings - four radiographic images	14%	916	916	$24K
D1208	Topical application of fluoride, excluding varnish	13%	1,804	1,804	$21K
D1110	Prophylaxis - adult	11%	508	508	$18K
D7140	Extraction, erupted tooth or exposed root	3.1%	101	67	$5K
D0140	Limited oral evaluation - problem focused	2.5%	145	139	$4K
D0220	Intraoral - periapical first radiographic image	2.0%	300	295	$3K
D0272	Bitewings - two radiographic images	1.8%	158	158	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	30	16	$2K
D2140		<1%	21	14	$809.13

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 officialNGOAP, MARIA (PRESIDENT OWNER)