Dental
Pine Trees Pediatric Dentistry LLC
Pine Trees Pediatric Dentistry LLC was paid $2K by Medicaid between Oct 2023 and Oct 2023, across 1 billing code. Its largest line is D9420, — 100% of everything it billed.
33Billing provider infoPINE TREES PEDIATRIC DENTISTRY LLC
KEALAKEKUA, HI 96750
KEALAKEKUA, HI 96750
33aNPI1962119826assigned 10/31/2022
33bProvider typePediatric Dentist
28Total paid$2K
24GClaims12
24DCodes billed1
24AFirst – last monthOct 2023 – Oct 2023
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#35 of 35
Median peer was paid$411K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9420 | 100% | 12 | 12 | $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 officialGRIFFITH, THOMAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| City of Lancaster | Lancaster, TX | $962K |
| Kona Pediatric Dentistry LLC | Kailua Kona, HI | $241K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.