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.

Pedodontic Associates Inc (NPI 1265419758)

Field	Value
Entity Type	Organization
Organization	Pedodontic Associates Inc
Address	31 Kamehameha Ave
City	Kahului
State	HI
ZIP	96732
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 27, 2005

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	9,920	$40	$357.2K
D1120	Prophylaxis–child	8,970	$40	$340.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,690	$20	$153.8K
D0272	N/A	4,930	$30	$128.1K
D0274	N/A	2,400	$50	$122.3K
D0220	Intraoral - periapical first radiographic image	4,570	$20	$77.6K
D0230	Intraoral - periapical each additional radiographic image	3,800	$20	$57K
D9230	N/A	680	$60	$38.9K
D2930	N/A	280	$110	$29.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	530	$50	$28.1K

Showing 1–10 of 18

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

Pedodontic Associates Inc — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	25	30	850	$100	$168.5K
D0140	Limited oral evaluation – problem focused	79	120	400	$140	$150.2K
D9230	N/A	23	40	980	$60	$115K
D1120	Prophylaxis–child	15	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	16	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	46	60	370	$80	$78.4K
D2150	Amalgam - two surfaces, primary or permanent	17	30	450	$60	$52.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12	100	610	$20	$51K
D3220	N/A	18	20	310	$70	$50.1K
D0272	N/A	14	90	380	$20	$47.8K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$978.7K
Pedodontic Associates, Inc	HI	Pediatric Dentistry	$0	$258.9K

Nearby Providers

Other providers in the same ZIP code as Pedodontic Associates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Americare Hawaii, Incorporated	HI	In Home Supportive Care Agency	$0	$4.7M
Aloha House, Inc.	HI	Mental Health Counselor	$0	$4.5M
Hale Mahaolu	HI	Home Delivered Meals	$0	$3.7M
Americare Hawaii, LLC	HI	Home Health Agency	$0	$3.2M
Maui Cardiology, Ltd.	HI	Cardiovascular Disease Physician	$0	$2.3M
Gammie Homecare, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Pediatric Therapies Hawaii	HI	Pediatric Physical Therapist	$0	$1.4M
Aloha Dermatology And Laser Center LLC	HI	Dermatology Physician	$0	$1.3M
Anamcara Care Hawaii Inc	HI	In Home Supportive Care Agency	$0	$1.3M
Aloha Surgical Center LLC	HI	Ambulatory Surgical Clinic/Center	$826.3K	$247K

Pedodontic Associates Inc — Billing Profile & Reimbursement Data

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Pedodontic Associates Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References