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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Delisle
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    Nicholas Delisle — Billing Profile & Reimbursement Data

    NPI 1073963385 · Kailua-kona, HI · Pediatric Dentistry

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    Nicholas Delisle is a pediatric dentistry provider located in Kailua-kona, Hawaii. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Delisle
    Address74-5214 Kkeanalehu Dr
    CityKailua-kona
    StateHI
    ZIP96740
    TaxonomyPediatric Dentistry
    NPI EnumeratedJune 17, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$323.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child1,510$40$57.4K
    D1351Sealant - per tooth2,690$20$51.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,490$30$44.7K
    D2392Post 2 surface resin‑based composite630$40$24.4K
    D0274N/A1,040$20$17.6K
    D0150Comprehensive oral evaluation – new or established patient640$20$15.4K
    D2391Resin‑based composite – one surface, posterior370$30$12K
    D0120Periodic oral evaluation - established patient720$20$10.8K
    D0350N/A2,100$10$10.5K
    D0220Intraoral - periapical first radiographic image1,700$10$10.2K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Hawaii median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2630850$100$168.5K
    D0140Limited oral evaluation – problem focused67120400$140$150.2K
    D9230N/A2840980$60$115K
    D1120Prophylaxis–child43120600$30$109.9K
    D0120Periodic oral evaluation - established patient65140600$30$97.1K
    D2392Post 2 surface resin‑based composite2260370$80$78.4K
    D0240N/A1110460$20$69.9K
    D1351Sealant - per tooth1040880$30$59.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients31100610$20$51K
    D3220N/A1520310$70$50.1K

    Showing 1–10 of 25

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nicholas Delisle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven Delisle Dds P.C.NVGeneral Practice Dentistry$0$6.8M
    Steven Delisle Dds P.C.NVDentist$0$1.9M
    Steven Delisle Dds P.C.NVDentist$0$1.8M

    Nearby Providers

    Other providers in the same ZIP code as Nicholas Delisle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Hawaii Community Health Center, Inc.HIFederally Qualified Health Center (FQHC)$0$46.8M
    S&g Labs Hawaii LLCHIClinical Medical Laboratory$292.7K$15.1M
    Full LifeHIDevelopmentally Disabled Services Day Training Agency$0$11M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9M
    Mf Med IncHIPain Medicine (Anesthesiology) Physician$0$4.3M
    Jennifer LogigianHIDentist$0$1.8M
    Transformation Health NetworkHIUrgent Care Clinic/Center$0$1.7M
    Access Capabilities, IncHICommunity/Behavioral Health Agency$0$1.3M
    Alii Health CenterHIMulti-Specialty Clinic/Center$0$799.9K
    Edwin HerdHIPediatrics Physician$0$640.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Hawaii Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Nicholas Delisle — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii