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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoon Ha
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    Joon Ha — Billing Profile & Reimbursement Data

    NPI 1184990905 · Mangilao, GU · General Practice Dentistry

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    Joon Ha is a general practice dentistry provider located in Mangilao, Guam. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    FieldValue
    Entity TypeIndividual
    OrganizationJoon Ha
    Address1 3 Route 10 #353
    CityMangilao
    StateGU
    ZIP96923
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMarch 26, 2012

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

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and $1.3M in lifetime Medicaid revenue, so its observable public payer activity is effectively single‑payer Medicaid. The absence of Medicare claims suggests the provider’s patient mix and payer relationships are concentrated in state Medicaid programs rather than the Medicare population.

    Revenue is highly concentrated within a small set of Medicaid codes: the top three Medicaid codes by revenue (D2150, D2930, D4220) account for 45.5% of the provider’s total Medicaid revenue. Specifically, D2150 generated $224.2K (17.2%), D2930 generated $202.8K (15.6%), and D4220 generated $165.5K (12.7%) of Medicaid revenue, indicating a narrow set of procedures drive nearly half of Medicaid income.

    The provider’s taxonomy is General Practice Dentistry and the code mix supports a general dental practice focused on restorative and routine care. D2150 (Amalgam - two surfaces), D2140 (Amalgam - one surface), and D2160 (Amalgam - three surfaces) are prominent restorative codes, while D1120 (Prophylaxis–child), D0120 (Periodic oral evaluation), and D0150 (Comprehensive oral evaluation) show substantial preventive and exam volume; two of the top three revenue codes (D2930 and D4220) have no descriptions available in the file but materially contribute to revenue.

    Statewide competitive standing is modest for the provider’s largest Medicaid revenue drivers. D2150 ranks #6 of 8 providers in-state (29th percentile) and D4220 ranks #6 of 8 (29th percentile), while D2930 ranks #7 of 7 (0th percentile), so for its top revenue-producing codes the provider generally falls below the median in statewide comparative volume.

    There are isolated areas of comparatively stronger standing: D2140 (Amalgam - one surface) ranks #3 of 7 (67th percentile), D0120 (Periodic oral evaluation - established patient) ranks #5 of 11 (60th percentile), and D0220 (Intraoral - periapical first radiographic image) ranks #7 of 15 (57th percentile). These ranks suggest the provider is relatively stronger in one-surface amalgam restorations, routine established-patient exams, and first periapical imaging compared with peers.

    Utilization patterns show high claim counts on lower-paid routine services and imaging, with 1.6K claims for D0220 at $15 avg paid/claim, 1.4K claims for D0230 at $12 avg paid/claim, and 1.3K claims for D1120 at $58 avg paid/claim. This pattern is consistent with a practice that delivers frequent, lower-reimbursement preventive and diagnostic services alongside restorative work, contributing materially to overall visit volume even where per-claim revenue is small.

    Most individual CPT/HCPCS entries are characterized in the file as "typical, unremarkable volume," and several codes show very low comparative volume (0th percentile) such as D2930, D7210, D2335, D2950, and D0210. This mix indicates the provider’s Medicaid activity is generally within expected ranges for in-state peers with a handful of very low-volume procedures, rather than showing outlier-level concentration in unusual services.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2150Amalgam - two surfaces, primary or permanent1,140$200$224.2K
    D2930N/A260$770$202.8K
    D4220N/A270$620$165.5K
    D2140Amalgam - one surface, primary or permanent840$170$142.1K
    D1120Prophylaxis–child1,300$60$75.2K
    D0150Comprehensive oral evaluation – new or established patient900$70$66.2K
    D2160Amalgam - three surfaces, primary or permanent410$150$62.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)190$300$56.5K
    D0120Periodic oral evaluation - established patient1,290$40$54.1K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant90$590$51.6K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Guam median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D4220N/A610940$200$845.2K
    D2930N/A710570$180$587.4K
    D3220N/A510560$110$406.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)610490$160$322.3K
    D2150Amalgam - two surfaces, primary or permanent6101,360$100$315.6K
    D1120Prophylaxis–child7102,140$60$195.3K
    D0150Comprehensive oral evaluation – new or established patient6101,460$70$192.7K
    D2160Amalgam - three surfaces, primary or permanent510530$110$139.3K
    D3120N/A510850$40$136.9K
    D2140Amalgam - one surface, primary or permanent310510$80$134.2K

    Showing 1–10 of 26

    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. Guam Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Joon Ha — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam