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    OpenPayerNPI Medicare & MedicaidAlbert Huang
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    Albert Huang — Billing Profile & Reimbursement Data

    NPI 1700086147 · Dededo, GU · Dentist

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    Albert Huang is a dentist provider located in Dededo, Guam. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 8

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationAlbert Huang
    Address134 East Marine Drive
    CityDededo
    StateGU
    ZIP96929
    TaxonomyDentist
    NPI EnumeratedJuly 24, 2007

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

    Payer SourceTotal Paid
    Medicaid$5.4M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer at scale: there is no Medicare billing on file and all reported lifetime revenue is Medicaid‑based, totaling $5.4M. The absence of Medicare activity means Medicaid dominates clinical volume, revenue exposure, and any payer‑specific operational considerations for this NPI.

    Revenue is highly concentrated: the precomputed top‑3 Medicaid codes account for 68.5% of the provider’s total Medicaid revenue, with a single code, D4220, representing $3.1M or 57.0% of Medicaid revenue. That level of concentration signals that changes in coverage, reimbursement, or utilization for those top codes would materially affect overall revenue.

    The code mix indicates a high‑throughput dental practice with both diagnostic/preventive and operative services. Notable codes with descriptions include D0140 (Limited oral evaluation – problem focused), D1351 (Sealant - per tooth), D2160 (Amalgam - three surfaces, primary or permanent), and D7210 (Extraction ... including elevation), which together suggest the practice delivers evaluations, preventive sealants (pediatric focus), multi‑surface restorations, and surgical extractions in significant volume.

    Claim volumes are large on several line items, supporting a high‑volume operational model: D4220 has 17.7K claims, D0230 has 13.9K claims, and D1351 has 6.3K claims as reported. These high claim counts alongside modest average paid/claim (for example $175 for D4220 and $12 for D0230) point to throughput‑driven revenue rather than reliance on high unit prices.

    Competitive standing within the state is dominant for multiple high‑revenue codes: the provider ranks #1 of in‑state peers for D4220 (100th percentile, notably above typical state volume), D0140 (100th percentile, notably above typical state volume), D2940 (100th percentile, notably above typical state volume), and D7210 (100th percentile, notably above typical state volume). This pattern identifies the practice as a leading statewide provider for several high‑volume Medicaid dental services.

    The provider’s profile also shows mixed, more typical participation across other services: codes such as D9310 are reported as typical/unremarkable volume, D1351 is at the 88th percentile, and many restorative and radiographic codes fall in mid‑to‑upper percentiles rather than being outliers. That combination suggests the practice has both specialty areas of dominance and a broader, normal distribution of routine dental services.

    The NPI has long tenure: enumerated (registered) on 2007-07-24 (~19 years ago), indicating an established presence in the market which can support sustained patient throughput and payer relationships. Longevity combined with high state rankings on key codes strengthens the provider’s operational credibility for Medicaid contracts.

    From an operational and payer strategy perspective, the dual facts of heavy Medicaid dependence ($5.4M lifetime Medicaid revenue) and revenue concentration in a few codes (top 3 = 68.5% of Medicaid revenue) suggest focused areas for contract negotiation, capacity planning, and utilization review. Payors and analysts should monitor utilization trends for D4220 and the other top codes because shifts in those codes’ coverage or utilization would disproportionately affect the provider’s financial profile.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D4220N/A17,660$180$3.1M
    D0140Limited oral evaluation – problem focused4,890$70$327.9K
    D2940N/A4,920$60$295.3K
    D9310N/A4,460$70$290K
    D1351Sealant - per tooth6,320$30$189.6K
    D2160Amalgam - three surfaces, primary or permanent1,710$110$184.2K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…1,130$160$175.7K
    D3120N/A3,940$40$169.2K
    D0230Intraoral - periapical each additional radiographic image13,850$10$166.2K
    D1120Prophylaxis–child2,200$60$131.9K

    Showing 1–10 of 19

    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

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D4220N/A110940$200$845.2K
    D2940N/A1101,230$220$377.8K
    D2150Amalgam - two surfaces, primary or permanent7101,360$100$315.6K
    D1120Prophylaxis–child5102,140$60$195.3K
    D2160Amalgam - three surfaces, primary or permanent310530$110$139.3K
    D3120N/A210850$40$136.9K
    D1351Sealant - per tooth210280$30$115.1K
    D2335N/A31040$170$92.8K
    D0230Intraoral - periapical each additional radiographic image2101,370$20$85.3K
    D9310N/A110230$60$79.8K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guam Healthcare Development IncorporatedGUClinic/Center$0$30.8M
    C V Alegria Dds IncGUGeneral Practice Dentistry$0$11.3M
    Usrc Finegayan, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    Renal Centers Of Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Government Of Guam Department Of AdministrationGUFederally Qualified Health Center (FQHC)$0$2.4M
    Maria Chela MarianoGUFamily Medicine Physician$0$1.8M
    Scott ShayGUVascular & Interventional Radiology Physician$1.2M$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Blue Ocean Medical Group LLCGUFamily Medicine Physician$0$665.1K
    Yolanda CarreraGUPediatrics Physician$0$334.5K

    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
    2 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Albert Huang — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam