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.

Kalihi Dental Grp Inc (NPI 1679730618)

Field	Value
Entity Type	Organization
Organization	Kalihi Dental Grp Inc
Address	2153 N King St
City	Honolulu
State	HI
ZIP	96819
Taxonomy	Dentist
NPI Enumerated	May 19, 2008

Payer Source	Total Paid
Medicaid	$109.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,250	$30	$36.3K
D1120	Prophylaxis–child	760	$30	$19.8K
D0272	N/A	880	$20	$16.7K
D0230	Intraoral - periapical each additional radiographic image	1,800	$10	$12.6K
D1208	Topical application of fluoride - excluding varnish	1,230	$10	$11.1K
D0330	N/A	120	$50	$5.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	120	$40	$4.1K
D0140	Limited oral evaluation – problem focused	90	$30	$2.6K
D0220	Intraoral - periapical first radiographic image	60	$10	$610
D9985	N/A	260	$0	$0

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

Kalihi Dental Grp Inc — 0 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	91	120	400	$140	$150.2K
D1120	Prophylaxis–child	54	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	53	140	600	$30	$97.1K
D0272	N/A	37	90	380	$20	$47.8K
D0330	N/A	44	70	260	$60	$46.2K
D0220	Intraoral - periapical first radiographic image	121	140	490	$10	$32.1K
D0230	Intraoral - periapical each additional radiographic image	34	120	510	$10	$30.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	73	120	240	$40	$30.6K
D1208	Topical application of fluoride - excluding varnish	33	90	710	$10	$26.8K
D9985	N/A	4	10	260	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	HI	General Acute Care Hospital	$0	$76.5M
Hawaii Permanente Medical Group Inc	HI	Health Maintenance Organization	$0	$75.8M
Procare Pharmacy, L.L.C.	HI	Specialty Pharmacy	$0	$41.8M
Value Drug Ltd	HI	Pharmacy	$0	$21.7M
Care Hawaii, Inc.	HI	Community/Behavioral Health Agency	$0	$11.8M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$10M
Hawaii Life Flight, LLC	HI	Air Ambulance	$636.1K	$8.5M
City And County Of Honolulu	HI	Land Ambulance	$3.3M	$5.3M
Keiki Dental Specialists	HI	Pediatric Dentistry	$0	$5.7M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$2M

Kalihi Dental Grp Inc — Billing Profile & Reimbursement Data

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Kalihi Dental Grp 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