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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCally L. Adams, Dds, LLC
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    Cally L. Adams, Dds, LLC — Billing Profile & Reimbursement Data

    NPI 1366726531 · Kihei, HI · Pediatric Dentistry

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    Cally L. Adams, Dds, LLC is a pediatric dentistry provider located in Kihei, Hawaii. This profile covers 0 Medicare and 17 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 TypeOrganization
    OrganizationCally L. Adams, Dds, LLC
    Address1325 S Kihei Rd
    CityKihei
    StateHI
    ZIP96753
    TaxonomyPediatric Dentistry
    NPI EnumeratedOctober 5, 2011

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

    Payer SourceTotal Paid
    Medicaid$2.6M
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child12,500$40$499.9K
    D2930N/A4,550$110$487.2K
    D0120Periodic oral evaluation - established patient11,200$40$425.6K
    D9230N/A3,620$60$206.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients12,190$10$170.7K
    D0272N/A5,840$30$157.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,130$70$151.1K
    D1351Sealant - per tooth2,860$50$131.6K
    D2150Amalgam - two surfaces, primary or permanent1,500$70$101.9K
    D0330N/A1,030$90$90.6K

    Showing 1–10 of 17

    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

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A530850$100$168.5K
    D9230N/A540980$60$115K
    D1120Prophylaxis–child11120600$30$109.9K
    D0120Periodic oral evaluation - established patient13140600$30$97.1K
    D1351Sealant - per tooth940880$30$59.7K
    D2150Amalgam - two surfaces, primary or permanent630450$60$52.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients6100610$20$51K
    D3220N/A920310$70$50.1K
    D0272N/A1390380$20$47.8K
    D0330N/A1870260$60$46.2K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Cally L. Adams, Dds, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pacific Island Consulting LLCHICommunity/Behavioral Health Agency$0$607.6K
    South Shore Physical Therapy & Sportsmedicine, IncHIPhysical Therapy Clinic/Center$0$498.7K
    Bocha, LLCHIDevelopmentally Disabled Services Day Training Agency$0$406.8K
    Amy ReisenauerHIDermatopathology Physician$389K$0
    Maui Pediatric DentistryHIPediatric Dentistry$0$303.1K
    N B Murthi Md PCHIPsychiatry Physician$0$240.4K
    Kihei-wailea Medical Center. LLCHISpecialist$0$175.1K
    Heather BejenaruHIFamily Medicine Physician$172.8K$0
    George M Martin Md, IncHISpecialist$0$152.6K
    Joann LepkeHIFamily Nurse Practitioner$150.8K$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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Cally L. Adams, Dds, LLC — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii