Dental
Cally L. Adams, DDS, LLC
Cally L. Adams, DDS, LLC was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoCALLY L. ADAMS, DDS, LLC
KIHEI, HI 96753
KIHEI, HI 96753
33aNPI1366726531assigned 10/05/2011
33bProvider typePediatric Dentist
28Total paid$2.56M
24GClaims61,635
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Hawaii
Rank by total paid#6 of 35
Median peer was paid$411K
This provider vs. median6.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,281 | $637K | |
| 2019 | 11,717 | $472K | |
| 2020 | 8,614 | $360K | |
| 2021 | 7,922 | $352K | |
| 2022 | 6,178 | $259K | |
| 2023 | 6,160 | $286K | |
| 2024incomplete | 4,763 | $194K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 12,498 | 12,495 | $499K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 4,553 | 1,691 | $486K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 11,199 | 11,196 | $423K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.1% | 3,622 | 3,254 | $208K |
| D1206 | Topical application of fluoride varnish | 6.8% | 12,192 | 12,189 | $175K |
| D0272 | Bitewings - two radiographic images | 6.2% | 5,835 | 5,834 | $158K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 2,128 | 1,164 | $150K |
| D1351 | Sealant - per tooth | 5.1% | 2,861 | 1,145 | $131K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 1,499 | 873 | $102K |
| D0330 | Panoramic radiographic image | 3.5% | 1,029 | 1,029 | $90K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 520 | 316 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,881 | 1,865 | $34K |
5 more codes
| D2140 | <1% | 315 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 866 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 292 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 230 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 115 | $6K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialADAMS, CALLY (PEDIATRIC DENTIST)