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    OpenPayerNPI Medicare & MedicaidRobert Yang
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    Robert Yang — Billing Profile & Reimbursement Data

    NPI 1598890741 · Tamuning, GU · Dentist

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    Robert Yang is a dentist provider located in Tamuning, Guam. This profile covers 0 Medicare and 26 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
    OrganizationRobert Yang
    Address744 N Marine Corps Dr Ste 119
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyDentist
    NPI EnumeratedFebruary 21, 2007

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

    Payer SourceTotal Paid
    Medicaid$2.4M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in scope: there is no Medicare billing on file while lifetime Medicaid revenue is $2.4M, indicating the practice’s revenue stream is driven entirely by Medicaid reimbursements rather than a mixed Medicare/Medicaid payer mix. That concentration should be treated as a defining feature of the business profile and will strongly shape competitiveness and payer risk.

    Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (D4220, D7140, D0150) account for 47.3% of Medicaid revenue, with D4220 generating $706K (29.3%), D7140 $232.6K (9.7%), and D0150 $198.5K (8.3%). Those three codes function as the primary revenue drivers and deserve priority attention for rate negotiation, utilization monitoring, and any audit or policy-change impact analysis.

    The code mix indicates a high-volume general dental practice with substantial pediatric and restorative activity: high counts and payments for D0150 (comprehensive oral evaluation), D1120 (Prophylaxis–child), D1351 (Sealant), and amalgam codes like D2150 point to routine preventive care, fillings, and new-patient/comprehensive evaluations as core services. The presence of D7140 (extraction, erupted tooth or exposed root) as a top revenue code also indicates a significant surgical/extraction workload alongside preventive and restorative services.

    State-level competitive standing is modest-to-solid rather than dominant: flagship codes sit in the upper half of in-state distributions but do not show market leadership — D4220 ranks #4 of 8 (57th percentile), D7140 ranks #3 of 7 (67th percentile), and D0150 ranks #4 of 10 (67th percentile). Multiple common codes fall in the 60th–80th percentile range (for example, D0120 at the 80th and D0220 at the 79th), suggesting the practice consistently generates above-average volume on many routine procedures without dominating the state market.

    Preventive and imaging services are a clear volume strength: high claim counts for radiographic and evaluation codes (D0230: 3.2K claims, $118.3K revenue, 75th percentile; D0220: 3.7K claims, $52.2K revenue, 79th percentile; D0120: 2.7K claims, $109.5K revenue, 80th percentile) show steady throughput of examinations and intraoral imaging that supports the practice’s restorative and preventive workflows. This pattern reinforces the characterization of a busy general/pediatric dental operation with routine diagnostic throughput.

    The practice shows limited activity on higher-complexity or less-common codes: D3330 (12 claims, $6.6K, ranks #2 of 2 at the 0th percentile) and D2160 (111 claims, $13.1K, ranks #7 of 7 at the 0th percentile) are low-volume relative to peers, indicating constrained involvement in complex endodontics or multi-surface restorative work compared with in-state colleagues. These low volumes imply the provider either refers higher-complexity cases elsewhere or focuses its case mix on preventive, diagnostic, simple restorative, and extraction procedures.

    Tenure is long-standing: the NPI was enumerated on 2007-02-21 (~19 years ago), which combined with the established pattern of Medicaid billing suggests an entrenched local practice rather than a recent entrant. That longevity supports assumptions about stable patient flows and established referral or community ties.

    From a risk and strategy perspective, the provider’s dependence on Medicaid and on a small set of high-revenue codes concentrates exposure: policy or rate changes affecting the top three revenue codes or shifts in Medicaid enrollment could materially affect revenue given that D4220, D7140, and D0150 together account for 47.3% of Medicaid receipts. Analysts should prioritize monitoring reimbursement rate trends and utilization rules for those codes when assessing financial or contract negotiations.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D4220N/A1,430$490$706K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,040$220$232.6K
    D0150Comprehensive oral evaluation – new or established patient2,680$70$198.5K
    D2150Amalgam - two surfaces, primary or permanent1,690$120$194.3K
    D2930N/A760$250$185.7K
    D1120Prophylaxis–child2,460$60$139.9K
    D0230Intraoral - periapical each additional radiographic image3,200$40$118.3K
    D3220N/A700$160$111.8K
    D0120Periodic oral evaluation - established patient2,670$40$109.5K
    D1351Sealant - per tooth770$130$102.3K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Guam median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D4220N/A410940$200$845.2K
    D2930N/A310570$180$587.4K
    D3220N/A310560$110$406.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)310490$160$322.3K
    D2150Amalgam - two surfaces, primary or permanent3101,360$100$315.6K
    D1120Prophylaxis–child4102,140$60$195.3K
    D0150Comprehensive oral evaluation – new or established patient4101,460$70$192.7K
    D2160Amalgam - three surfaces, primary or permanent710530$110$139.3K
    D3120N/A610850$40$136.9K
    D2140Amalgam - one surface, primary or permanent410510$80$134.2K

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M
    Leopoldo ArcillaGUInternal Medicine Physician$81.3K$1.5M

    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. Guam Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Robert Yang — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam