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 1285603373)

Field	Value
Entity Type	Organization
Organization	Pedodontic Associates, Inc
Address	98-1005 Moanalua Rd.
City	Aiea
State	HI
ZIP	96701
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicaid	$258.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	3,400	$30	$91.9K
D1120	Prophylaxis–child	2,720	$30	$76.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,840	$20	$48.3K
D0272	N/A	860	$20	$16.4K
D0220	Intraoral - periapical first radiographic image	850	$10	$9.4K
D0274	N/A	210	$30	$6.1K
D0230	Intraoral - periapical each additional radiographic image	590	$10	$5.3K
D1208	Topical application of fluoride - excluding varnish	880	$1	$3.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	$40	$1.4K
D1354	N/A	60	$10	$630

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 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	32	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	31	140	600	$30	$97.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23	100	610	$20	$51K
D0272	N/A	39	90	380	$20	$47.8K
D0274	N/A	54	100	290	$40	$42.8K
D0220	Intraoral - periapical first radiographic image	59	140	490	$10	$32.1K
D0230	Intraoral - periapical each additional radiographic image	57	120	510	$10	$30.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	91	120	240	$40	$30.6K
D1208	Topical application of fluoride - excluding varnish	40	90	710	$10	$26.8K
D1354	N/A	20	20	1,070	$10	$11.9K

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	$1.4M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$978.7K

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
Diagnostic Laboratory Services, Inc	HI	Clinical Medical Laboratory	$10.5M	$46M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Dlmc, Inc.	HI	Home Health Agency	$0	$39.5M
Usrc Pearlridge, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M
International Life Support Inc	HI	Ambulance	$1.2M	$8.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.8M
Pharmacare International, Inc.	HI	Community/Retail Pharmacy	$125.1K	$4.7M
Emergency Medicine Physicians Of Honolulu Pali Momi, LLC	HI	Emergency Medicine Physician	$0	$4.2M
Absolute Care Management Services	HI	Point of Service	$0	$3.2M
Derek B Tom Dds LLC	HI	Pediatric Dentistry	$0	$2.6M

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