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.

Toothbuds Kauai, LLC (NPI 1851043426)

Field	Value
Entity Type	Organization
Organization	Toothbuds Kauai, LLC
Address	3-3359 Kuhio Hwy
City	Lihue
State	HI
ZIP	96766
Taxonomy	Dentist
NPI Enumerated	January 24, 2022

Payer Source	Total Paid
Medicaid	$803.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	1,460	$120	$177.1K
D1120	Prophylaxis–child	3,980	$40	$147.3K
D0120	Periodic oral evaluation - established patient	2,940	$40	$102.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,720	$20	$89.2K
D2393	Resin-based composite, three surfaces, posterior	390	$170	$65K
D0230	Intraoral - periapical each additional radiographic image	3,770	$20	$56.6K
D9230	N/A	880	$60	$48.2K
D0272	N/A	1,640	$30	$41K
D0220	Intraoral - periapical first radiographic image	2,050	$20	$34.9K
D0150	Comprehensive oral evaluation – new or established patient	550	$50	$25.9K

Showing 1–10 of 15

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

Toothbuds Kauai, LLC — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	83	120	400	$140	$150.2K
D9230	N/A	21	40	980	$60	$115K
D1120	Prophylaxis–child	29	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	34	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	13	60	370	$80	$78.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20	100	610	$20	$51K
D0272	N/A	28	90	380	$20	$47.8K
D0274	N/A	73	100	290	$40	$42.8K
D2391	Resin‑based composite – one surface, posterior	30	40	340	$70	$39K
D2393	Resin-based composite, three surfaces, posterior	7	20	120	$120	$38.7K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Toothbuds Kauai, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hwa Pen Hans Hsu	HI	Pediatric Dentistry	$0	$124.3K

Nearby Providers

Other providers in the same ZIP code as Toothbuds Kauai, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilcox Memorial Hospital	HI	Rural Acute Care Hospital	$0	$28M
Kauai Medical Clinic	HI	Multi-Specialty Clinic/Center	$0	$5M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.5M
Karin Stoll	HI	Mental Health Counselor	$52.7K	$1.2M
Kuhio Pediatric Dental LLC	HI	General Practice Dentistry	$0	$925.9K
Hawaiian Island Dental, Inc.	HI	General Practice Dentistry	$0	$875.6K
Hawaii Life Flight, LLC	HI	Air Ambulance	$458.5K	$370K
Stephanie Skow Md Inc	HI	Psychiatry Physician	$0	$545.8K
Mastercare Inc	HI	In Home Supportive Care Agency	$0	$522.7K

Toothbuds Kauai, LLC — Billing Profile & Reimbursement Data

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Toothbuds Kauai, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References