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 Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam 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. Guam (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.

Hafa Adai Family Dental PC (NPI 1104987106)

Field	Value
Entity Type	Organization
Organization	Hafa Adai Family Dental PC
Address	590 S Marine Corps Dr
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$2.1K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and a very small Medicaid footprint, reporting $2.1K in lifetime Medicaid revenue; in practical terms HAFA ADAI FAMILY DENTAL PC operates as effectively single-payer (Medicaid) in the available claims data. The absence of Medicare billing suggests the practice either does not serve Medicare beneficiaries or has not billed Medicare during the period covered by the dataset.

Revenue is highly concentrated in three diagnostic/office visit codes: the top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with D0230 representing 49.1% of Medicaid revenue, D0220 26.8%, and D0120 24.1%. This concentration indicates that almost all reported Medicaid activity is tied to imaging and routine evaluations rather than a broader mix of restorative or surgical dental procedures.

The code mix (D0230, D0220, D0120) points to a patient care profile focused on diagnostic radiographs and periodic evaluations—services consistent with routine pediatric dental visits and screening rather than extensive operative dentistry. Given the Pediatric Dentistry taxonomy, these codes suggest the practice primarily bills for exams and periapical imaging, which may reflect either a preventive/diagnostic-focused workflow or limited submission of procedure-level claims to Medicaid.

Competitive standing in-state is modest to minimal for the top codes: D0230 ranks #13 of 13 providers in-state (0th percentile; typical, unremarkable volume for this code), D0220 ranks #13 of 15 (14th percentile; typical, unremarkable volume), and D0120 ranks #11 of 11 (0th percentile; typical, unremarkable volume). These rank/percentile positions indicate HAFA ADAI FAMILY DENTAL PC is not a dominant or high-volume Medicaid provider for these services within the state and instead appears to operate at lower, routine volumes relative to peers.

The absolute scale of Medicaid billing is small ($2.1K total), which limits the provider's potential impact on payer negotiations or network market share; this level of revenue also suggests a limited billing footprint to Medicaid that may correspond to a low patient panel, restricted Medicaid participation, or sporadic claim submission. Analysts should treat earnings and utilization signals as low-volume and interpret any per-code patterns with caution due to the small-dollar base.

HAFA ADAI FAMILY DENTAL PC has a long-standing NPI enrollment (enumerated 2006-12-13, ~20 years ago), indicating extended provider registration despite the minimal Medicaid billing observed. This tenure suggests the practice has maintained an active professional designation for many years, even if current claims volume to Medicare and Medicaid is negligible.

All three top Medicaid codes are labeled in the dataset as 'typical, unremarkable volume for this code,' and the reported state percentiles and ranks align with that characterization; there are no statistical outlier signals in the available Medicaid claims for this provider. For payers or network analysts, the lack of outlier behavior combined with concentrated diagnostic coding points to routine, low-volume pediatric dental activity rather than atypical utilization patterns.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0230	Intraoral - periapical each additional radiographic image	30	$40	$1.1K
D0220	Intraoral - periapical first radiographic image	40	$10	$570
D0120	Periodic oral evaluation - established patient	10	$40	$520

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Hafa Adai Family Dental PC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0230	Intraoral - periapical each additional radiographic image	13	10	1,370	$20	$85.3K
D0120	Periodic oral evaluation - established patient	11	10	1,070	$40	$80K
D0220	Intraoral - periapical first radiographic image	13	20	350	$10	$38K

Hafa Adai Family Dental PC — Billing Profile & Reimbursement Data

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Hafa Adai Family Dental PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References