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.

Smiles For Keiki Pediatric Dentistry, LLC (NPI 1043744170)

Field	Value
Entity Type	Organization
Organization	Smiles For Keiki Pediatric Dentistry, LLC
Address	4211 Waialae Ave Ste 201
City	Honolulu
State	HI
ZIP	96816
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 15, 2017

Payer Source	Total Paid
Medicaid	$736.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2394	N/A	1,200	$190	$222.5K
D2393	Resin-based composite, three surfaces, posterior	760	$160	$119.3K
D1120	Prophylaxis–child	1,940	$30	$52.4K
D0120	Periodic oral evaluation - established patient	1,880	$30	$48.8K
D2332	N/A	330	$120	$41.1K
D1208	Topical application of fluoride - excluding varnish	1,810	$20	$38K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	440	$70	$28.7K
D0272	N/A	1,410	$20	$25.3K
D2335	N/A	200	$110	$23K
D0220	Intraoral - periapical first radiographic image	1,900	$10	$20.8K

Showing 1–10 of 23

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

Smiles For Keiki Pediatric Dentistry, LLC — 1 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2161	N/A	4	10	2,120	$80	$179.1K
D2930	N/A	30	30	850	$100	$168.5K
D1120	Prophylaxis–child	39	120	600	$30	$109.9K
D2394	N/A	1	10	440	$190	$104.5K
D0120	Periodic oral evaluation - established patient	42	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	54	60	370	$80	$78.4K
D1351	Sealant - per tooth	31	40	880	$30	$59.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	61	100	610	$20	$51K
D3220	N/A	16	20	310	$70	$50.1K
D0272	N/A	30	90	380	$20	$47.8K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Smiles For Keiki Pediatric Dentistry, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medical Services System Hawaii Dept Of Health	HI	Land Ambulance	$3.1M	$32.4M
The Arc In Hawaii	HI	Voluntary or Charitable Agency	$0	$12.7M
State Of Hawaii Department Of Education	HI	Local Education Agency (LEA)	$0	$10.1M
Special Education Center Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc Kapahulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Allen K. Hirai Dds LLC	HI	Pediatric Dentistry	$0	$1.7M
Kahala Childrens Medical Group LLC	HI	Pediatrics Physician	$0	$1.4M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$978.7K

Smiles For Keiki Pediatric Dentistry, LLC — Billing Profile & Reimbursement Data

Sign up for Smiles For Keiki Pediatric Dentistry, LLC — Billing Profile & Reimbursement Data policy alerts

Smiles For Keiki Pediatric Dentistry, LLC — Billing Profile & Reimbursement Data

Sign up for Smiles For Keiki Pediatric Dentistry, LLC — 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