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.

Ancheta Pediatric Dental LLC (NPI 1891235560)

Field	Value
Entity Type	Organization
Organization	Ancheta Pediatric Dental LLC
Address	98-1247 Kaahumanu St
City	Aiea
State	HI
ZIP	96701
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 1, 2017

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	7,870	$30	$212.5K
D1120	Prophylaxis–child	7,160	$30	$200.5K
D2150	Amalgam - two surfaces, primary or permanent	2,660	$50	$135.6K
D2930	N/A	1,520	$80	$119.9K
D1208	Topical application of fluoride - excluding varnish	8,110	$10	$113.5K
D2392	Post 2 surface resin‑based composite	960	$100	$96.3K
D0330	N/A	1,790	$50	$94.7K
D3220	N/A	1,190	$70	$78.8K
D0220	Intraoral - periapical first radiographic image	6,360	$10	$76.3K
D0272	N/A	3,920	$20	$74.6K

Showing 1–10 of 28

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

Ancheta Pediatric Dental LLC — 1 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	11	30	850	$100	$168.5K
D0140	Limited oral evaluation – problem focused	34	120	400	$140	$150.2K
D9230	N/A	19	40	980	$60	$115K
D1120	Prophylaxis–child	21	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	21	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	15	60	370	$80	$78.4K
D1351	Sealant - per tooth	13	40	880	$30	$59.7K
D2150	Amalgam - two surfaces, primary or permanent	4	30	450	$60	$52.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	72	100	610	$20	$51K
D3220	N/A	4	20	310	$70	$50.1K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Ancheta Pediatric Dental LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Services, Inc	HI	Clinical Medical Laboratory	$10.5M	$46M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Dlmc, Inc.	HI	Home Health Agency	$0	$39.5M
Usrc Pearlridge, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M
International Life Support Inc	HI	Ambulance	$1.2M	$8.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.8M
Pharmacare International, Inc.	HI	Community/Retail Pharmacy	$125.1K	$4.7M
Emergency Medicine Physicians Of Honolulu Pali Momi, LLC	HI	Emergency Medicine Physician	$0	$4.2M
Absolute Care Management Services	HI	Point of Service	$0	$3.2M
Derek B Tom Dds LLC	HI	Pediatric Dentistry	$0	$2.6M

Ancheta Pediatric Dental LLC — Billing Profile & Reimbursement Data

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Ancheta Pediatric Dental 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

Nearby Providers

Frequently Asked Questions

References