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.

Mark A. Baird D.d.s. Inc (NPI 1639472806)

Field	Value
Entity Type	Organization
Organization	Mark A. Baird D.d.s. Inc
Address	4-976 Kuhio Hwy
City	Kapaa
State	HI
ZIP	96746
Taxonomy	General Practice Dentistry
NPI Enumerated	December 9, 2010

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	7,130	$40	$278.1K
D2392	Post 2 surface resin‑based composite	2,410	$90	$216.9K
D0120	Periodic oral evaluation - established patient	5,950	$40	$214.3K
D9230	N/A	3,160	$60	$180.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,970	$20	$139.4K
D0272	N/A	3,790	$30	$98.6K
D2930	N/A	670	$110	$70K
D0274	N/A	1,050	$50	$55.8K
D2391	Resin‑based composite – one surface, posterior	560	$80	$46.8K
D1351	Sealant - per tooth	890	$40	$39.2K

Showing 1–10 of 19

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

Mark A. Baird D.d.s. Inc — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	18	30	850	$100	$168.5K
D0140	Limited oral evaluation – problem focused	54	120	400	$140	$150.2K
D9230	N/A	8	40	980	$60	$115K
D1120	Prophylaxis–child	22	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	27	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	9	60	370	$80	$78.4K
D1351	Sealant - per tooth	22	40	880	$30	$59.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14	100	610	$20	$51K
D0272	N/A	19	90	380	$20	$47.8K
D0330	N/A	45	70	260	$60	$46.2K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Mark A. Baird D.d.s. Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Mahelona Memorial Hospital	HI	Critical Access Hospital	$0	$7M
Kapaa Pediatrics LLC	HI	Pediatrics Physician	$0	$349.1K
Jere Graham	HI	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$17.6K	$186.9K
Kapaa Physical Therapy Inc	HI	Physical Therapist	$0	$141.6K
Longs Drug Stores California ,L.L.C.	HI	Pharmacy	$120.1K	$4.2K
Jeffrey Gatling	HI	Physical Therapist	$65.2K	$0
Amanda Gutierrez	HI	Orthopedic Physical Therapist	$57K	$0
Alana Goo-frazier	HI	Family Nurse Practitioner	$49.6K	$0
Ashok Kannan	HI	Geriatric Medicine (Internal Medicine) Physician	$43.3K	$0
Christopher Liloy	HI	Physical Therapist	$38.7K	$0

Mark A. Baird D.d.s. Inc — Billing Profile & Reimbursement Data

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Mark A. Baird D.d.s. 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

Nearby Providers

Frequently Asked Questions

References