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    OpenPayerNPI Medicare & MedicaidKaneohe Kids Dental LLC
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    Kaneohe Kids Dental LLC — Billing Profile & Reimbursement Data

    NPI 1093427643 · Kaneohe, HI · Pediatric Dentistry

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    Kaneohe Kids Dental LLC is a pediatric dentistry provider located in Kaneohe, Hawaii. This profile covers 0 Medicare and 19 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 TypeOrganization
    OrganizationKaneohe Kids Dental LLC
    Address46-005 Kawa St Ste 301
    CityKaneohe
    StateHI
    ZIP96744
    TaxonomyPediatric Dentistry
    NPI EnumeratedDecember 14, 2022

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

    Payer SourceTotal Paid
    Medicaid$410.8K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite560$120$69.2K
    D0120Periodic oral evaluation - established patient2,120$30$61.3K
    D1120Prophylaxis–child1,860$30$55.8K
    D2930N/A400$110$43.4K
    D1208Topical application of fluoride - excluding varnish1,580$20$31.6K
    D0274N/A910$30$29.1K
    D0272N/A1,320$20$26.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth530$40$22.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients690$30$18.7K
    D1351Sealant - per tooth580$30$16.9K

    Showing 1–10 of 19

    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

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2330850$100$168.5K
    D0140Limited oral evaluation – problem focused72120400$140$150.2K
    D1120Prophylaxis–child41120600$30$109.9K
    D0120Periodic oral evaluation - established patient38140600$30$97.1K
    D2392Post 2 surface resin‑based composite2460370$80$78.4K
    D1351Sealant - per tooth2840880$30$59.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients49100610$20$51K
    D3220N/A2120310$70$50.1K
    D0272N/A3190380$20$47.8K
    D0330N/A5770260$60$46.2K

    Showing 1–10 of 19

    Nearby Providers

    Other providers in the same ZIP code as Kaneohe Kids Dental LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Alcoholic Rehabilitation Services Of Hawaii IncHISubstance Abuse Rehabilitation Facility$0$4.5M
    Oahu Oral And Maxillofacial SurgeryHIOral and Maxillofacial Surgery Clinic/Center$0$3.7M
    Po AilaniHIMental Illness Community Based Residential Treatment Facility$0$3.3M
    Usrc Ko'olau LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Western Health ResourcesHIHome Health Agency$0$1.9M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Usrc Windward, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M
    Paul M.t. YimHIDentist$0$960.9K
    Windward Pediatrics, Inc.HISpecialist$0$848.2K

    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
    Kaneohe Kids Dental LLC — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii