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.

Keiki Dental Specialists (NPI 1184046716)

Field	Value
Entity Type	Organization
Organization	Keiki Dental Specialists
Address	1302 Moanalualani Ct Apt D
City	Honolulu
State	HI
ZIP	96819
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 16, 2014

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the Medicare/Medicaid mix: there is no Medicare billing on file and all recorded public program revenue is Medicaid only, totaling $5.7M. Analysts should treat Medicare-driven comparisons as not applicable for this entity and focus competitive benchmarking within Medicaid.

Revenue concentration is pronounced: the top three Medicaid codes D1120, D0120, and D2930 together account for 37.9% of the provider's total Medicaid revenue, with D1120 reporting $759.1K (13.3%), D0120 $721.7K (12.7%), and D2930 $675.8K (11.9%). This concentration indicates that a relatively small set of pediatric preventive/evaluation and the unnamed D2930 code drive a large share of billings.

The code mix indicates a preventive pediatric emphasis: D1120 (19.5K claims, $39 avg paid/claim, $759.1K) and D0120 (19.5K claims, $37 avg paid/claim, $721.7K) are the two largest revenue generators by code and are high-volume services typically associated with routine child dental care. High counts for D1206 (15.1K claims, $271.1K) and D0220 (12.1K claims, $218K) further support a care model oriented to frequent preventive visits, topical fluoride, and radiographic monitoring for a pediatric population.

The practice also delivers substantial restorative and surgical pediatric services alongside prevention: D2150 ($346.6K, 5.3K claims) and D2140 ($202.6K, 3.3K claims) are both ranked #1 in-state and labeled extreme outliers, while D7140 ($257.9K, 3.6K claims) ranks #2 of in-state providers. These high-volume restorative and extraction codes show the operation manages a broad case mix from fillings to extractions, suggesting comprehensive pediatric dental capability rather than only screening-level care.

Competitive standing within Hawaii is strong and concentrated: the provider holds multiple top statewide ranks (for example D2150 rank #1 of 29 providers at the 100th percentile; D3220 rank #1 of 23 providers at the 100th percentile) and numerous high-percentile placements (D1120 and D0120 both rank #4 in-state in the high 90s). Those rankings indicate this entity is a major Medicaid participant in pediatric dental services in Hawaii across both preventive and restorative lines.

Several specific codes are flagged as statistical outliers or unusually high relative to state peers—explicitly D2150 and D2140 at 100th percentile (extreme outlier) and D7140 at 98th percentile (extreme outlier)—while other high-volume codes such as D1120, D0120, D2930, and D9230 are described as notably above typical state volume. These labels imply unusually large market share or concentration for particular pediatric restorative and preventive services and are useful signals when assessing competitive pressure or contracting opportunities.

Operational scale is high by claim volume in pediatric categories: D1120 and D0120 each have 19.5K claims, D1206 has 15.1K claims, and D0220 has 12.1K claims, indicating sustained throughput of pediatric patients and repeated preventive encounters. For payers and network managers, these volumes suggest the provider is a high-capacity site for routine pediatric dental care and should be prioritized in access and utilization reviews.

The provider has established tenure in public program billing, with its NPI enumerated on 2014-01-16 (~12 years ago), supporting the interpretation that the observed Medicaid patterns represent sustained operational behavior rather than a short-term or transient billing profile.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	19,470	$40	$759.1K
D0120	Periodic oral evaluation - established patient	19,510	$40	$721.7K
D2930	N/A	6,260	$110	$675.8K
D9230	N/A	7,970	$60	$462.4K
D2150	Amalgam - two surfaces, primary or permanent	5,250	$70	$346.6K
D3220	N/A	3,390	$90	$288.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,060	$20	$271.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,580	$70	$257.9K
D0220	Intraoral - periapical first radiographic image	12,110	$20	$218K
D0272	N/A	7,730	$30	$208.7K

Showing 1–10 of 30

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

Keiki Dental Specialists — 11 of 25 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	30	850	$100	$168.5K
D0140	Limited oral evaluation – problem focused	23	120	400	$140	$150.2K
D9230	N/A	2	40	980	$60	$115K
D1120	Prophylaxis–child	4	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	4	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	10	60	370	$80	$78.4K
D0240	N/A	4	10	460	$20	$69.9K
D1351	Sealant - per tooth	18	40	880	$30	$59.7K
D2150	Amalgam - two surfaces, primary or permanent	1	30	450	$60	$52.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4	100	610	$20	$51K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	HI	General Acute Care Hospital	$0	$76.5M
Hawaii Permanente Medical Group Inc	HI	Health Maintenance Organization	$0	$75.8M
Procare Pharmacy, L.L.C.	HI	Specialty Pharmacy	$0	$41.8M
Value Drug Ltd	HI	Pharmacy	$0	$21.7M
Care Hawaii, Inc.	HI	Community/Behavioral Health Agency	$0	$11.8M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$10M
Hawaii Life Flight, LLC	HI	Air Ambulance	$636.1K	$8.5M
City And County Of Honolulu	HI	Land Ambulance	$3.3M	$5.3M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$2M
Imua Medical Equipment And Supplies,llc	HI	Durable Medical Equipment & Medical Supplies	$0	$1.7M

Keiki Dental Specialists — Billing Profile & Reimbursement Data

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Keiki Dental Specialists — 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

Nearby Providers

Frequently Asked Questions

References