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    OpenPayerNPI Medicare & MedicaidHawaiian Island Dental, Inc.
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    Hawaiian Island Dental, Inc. — Billing Profile & Reimbursement Data

    NPI 1316278906 · Lihue, HI · General Practice Dentistry

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    Hawaiian Island Dental, Inc. is a general practice dentistry provider located in Lihue, Hawaii. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    • Billing CodesCPT, HCPCS, DRG & more
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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHawaiian Island Dental, Inc.
    Address4370 Kukui Grove St
    CityLihue
    StateHI
    ZIP96766
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 20, 2010

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

    Payer SourceTotal Paid
    Medicaid$875.6K
    Medicare$0

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient3,090$40$111.1K
    D0274N/A2,120$40$88.9K
    D1120Prophylaxis–child2,480$30$82K
    D0230Intraoral - periapical each additional radiographic image6,490$10$77.8K
    D0220Intraoral - periapical first radiographic image3,790$20$60.6K
    D2392Post 2 surface resin‑based composite780$70$50.8K
    D9230N/A870$60$48.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth950$50$46.4K
    D2930N/A410$100$39.2K
    D0330N/A500$70$35.9K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Hawaii median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A710310$280$348.8K
    D2930N/A2230850$100$168.5K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…2230310$150$157.6K
    D0140Limited oral evaluation – problem focused47120400$140$150.2K
    D9230N/A2240980$60$115K
    D1120Prophylaxis–child35120600$30$109.9K
    D0120Periodic oral evaluation - established patient32140600$30$97.1K
    D2392Post 2 surface resin‑based composite1760370$80$78.4K
    D1351Sealant - per tooth3640880$30$59.7K
    D2150Amalgam - two surfaces, primary or permanent1630450$60$52.8K

    Showing 1–10 of 28

    Nearby Providers

    Other providers in the same ZIP code as Hawaiian Island Dental, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilcox Memorial HospitalHIRural Acute Care Hospital$0$28M
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.7M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.5M
    Karin StollHIMental Health Counselor$52.7K$1.2M
    Kuhio Pediatric Dental LLCHIGeneral Practice Dentistry$0$925.9K
    Hawaii Life Flight, LLCHIAir Ambulance$458.5K$370K
    Toothbuds Kauai, LLCHIDentist$0$803.9K
    Stephanie Skow Md IncHIPsychiatry Physician$0$545.8K
    Mastercare IncHIIn Home Supportive Care Agency$0$522.7K

    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. Hawaii Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Hawaiian Island Dental, Inc. — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii