Dental
Maui Pediatric Dentistry
Maui Pediatric Dentistry was paid $303K by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoMAUI PEDIATRIC DENTISTRY
KIHEI, HI 96753
KIHEI, HI 96753
33aNPI1982298873assigned 02/22/2021
33bProvider typePediatric Dentist
28Total paid$303K
24GClaims11,044
24DCodes billed13
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#20 of 35
Median peer was paid$411K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 299 | $11K | |
| 2021 | 1,688 | $41K | |
| 2022 | 2,570 | $59K | |
| 2023 | 2,566 | $76K | |
| 2024incomplete | 3,921 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 2,503 | 2,503 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,637 | 1,637 | $59K |
| D1206 | Topical application of fluoride varnish | 16% | 2,226 | 2,226 | $50K |
| D1354 | 7.4% | 2,774 | 817 | $22K | |
| D0272 | Bitewings - two radiographic images | 6.8% | 783 | 783 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 265 | 243 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 196 | 196 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 264 | 264 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 133 | 133 | $5K |
| D0274 | Bitewings - four radiographic images | 1.5% | 83 | 83 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 54 | 53 | $2K |
| D1351 | Sealant - per tooth | <1% | 42 | 14 | $2K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 84 | $1K |
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 officialHANKS, BENJAMIN (PEDIATRIC DENTIST)