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    OpenPayerNPI Medicare & MedicaidArthur Kalfus
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    Arthur Kalfus — Billing Profile & Reimbursement Data

    NPI 1326367582 · Pearl Harbor, HI · General Practice Dentistry

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    Arthur Kalfus is a general practice dentistry provider located in Pearl Harbor, Hawaii. This profile covers 0 Medicare and 11 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationArthur Kalfus
    Address480 Central Ave
    CityPearl Harbor
    StateHI
    ZIP96860
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMay 26, 2010

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

    Payer SourceTotal Paid
    Medicaid$631.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2391Resin‑based composite – one surface, posterior1,220$150$181.2K
    D2392Post 2 surface resin‑based composite700$200$137.1K
    D1351Sealant - per tooth1,370$50$71.2K
    D1120Prophylaxis–child920$70$60.5K
    D0150Comprehensive oral evaluation – new or established patient690$80$56.8K
    D0210Intraoral - complete series of radiographic images390$120$48.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,020$40$41.9K
    D0120Periodic oral evaluation - established patient370$50$17K
    D0272N/A180$40$8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth60$80$4.8K

    Showing 1–10 of 11

    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

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1120Prophylaxis–child50120600$30$109.9K
    D0120Periodic oral evaluation - established patient83140600$30$97.1K
    D2392Post 2 surface resin‑based composite1960370$80$78.4K
    D1351Sealant - per tooth1740880$30$59.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients42100610$20$51K
    D0272N/A5690380$20$47.8K
    D0274N/A72100290$40$42.8K
    D2391Resin‑based composite – one surface, posterior640340$70$39K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth78120240$40$30.6K
    D0150Comprehensive oral evaluation – new or established patient1490150$40$16.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kids First Dental, LLCSCDentist$0$20.6M
    South Central Missouri Community Health CenterMOFederally Qualified Health Center (FQHC)$0$5.3M
    Richland Medical Center, Inc.MOFederally Qualified Health Center (FQHC)$0$3.4M
    Robert BlairHIOral and Maxillofacial Surgery (Dentist)$0$1.4M
    Elaine BriggsMOFamily Nurse Practitioner$183.1K$21.6K
    Matthew PorterMOFamily Medicine Physician$320$67.1K

    Nearby Providers

    Other providers in the same ZIP code as Arthur Kalfus, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey LinHIFamily Medicine Physician$19.2K$0
    Joan Eula CondeHIRegistered Nurse$15K$0
    Heidi LaytonHIClinical Psychologist$3.8K$0
    Rolandy DumornayHIOptometrist$1.8K$0

    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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Arthur Kalfus — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii