Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Orchid Isle Dental (NPI 1013416817)

Field	Value
Entity Type	Organization
Organization	Orchid Isle Dental
Address	45-3290 Ohia St Ste 1
City	Honokaa
State	HI
ZIP	96727
Taxonomy	Dental Clinic/Center
NPI Enumerated	February 7, 2018

Payer Source	Total Paid
Medicaid	$247.4K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	2,030	$40	$72.9K
D1120	Prophylaxis–child	1,960	$30	$62.8K
D1208	Topical application of fluoride - excluding varnish	1,850	$10	$26K
D0272	N/A	920	$30	$23K
D0274	N/A	500	$40	$20.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	250	$50	$12.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	460	$20	$6.9K
D0220	Intraoral - periapical first radiographic image	450	$20	$6.7K
D2392	Post 2 surface resin‑based composite	80	$60	$5K
D0140	Limited oral evaluation – problem focused	70	$40	$2.4K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

Orchid Isle Dental — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	94	120	400	$140	$150.2K
D1120	Prophylaxis–child	38	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	39	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	42	60	370	$80	$78.4K
D1351	Sealant - per tooth	41	40	880	$30	$59.7K
D2150	Amalgam - two surfaces, primary or permanent	29	30	450	$60	$52.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	100	610	$20	$51K
D0272	N/A	36	90	380	$20	$47.8K
D0330	N/A	61	70	260	$60	$46.2K
D0274	N/A	42	100	290	$40	$42.8K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Orchid Isle Dental, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamakua Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$4.4M
Honokaa Hospital & Skilled Nursing	HI	Critical Access Hospital	$0	$1.8M
Thomas O'neill	HI	Clinical Social Worker	$0	$267.2K
Jamuna Wyss	HI	Clinical Psychologist	$0	$102.5K
Jeffrey Gedney	HI	Clinical Psychologist	$8.6K	$0
Nidhi Chabora	HI	Psychiatric/Mental Health Nurse Practitioner	$7.2K	$0

Orchid Isle Dental — Billing Profile & Reimbursement Data

Sign up for Orchid Isle Dental — Billing Profile & Reimbursement Data policy alerts

Orchid Isle Dental — Billing Profile & Reimbursement Data

Sign up for Orchid Isle Dental — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References