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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

University Pediatric Dentistry Associates (NPI 1003947599)

Field	Value
Entity Type	Organization
Organization	University Pediatric Dentistry Associates
Address	705 Riley Hospital Dr
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	23,700	$140	$3.3M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	22,360	$70	$1.6M
D1120	Prophylaxis–child	37,450	$30	$1.2M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	50,310	$20	$1M
D0120	Periodic oral evaluation - established patient	37,810	$20	$793.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	13,480	$40	$552.6K
D1351	Sealant - per tooth	17,160	$30	$446.2K
D1354	N/A	5,580	$80	$441.1K
D0150	Comprehensive oral evaluation – new or established patient	14,150	$30	$438.6K
D9230	N/A	15,450	$30	$401.6K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

University Pediatric Dentistry Associates — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	170	1,180	$130	$370.2K
D1354	N/A	25	130	700	$70	$252.9K
D1351	Sealant - per tooth	35	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	540	460	$70	$106.9K
D2392	Post 2 surface resin‑based composite	49	720	400	$60	$76.5K
D2390	N/A	4	10	180	$110	$69.3K
D1120	Prophylaxis–child	8	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	10	1,360	800	$20	$53.2K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as University Pediatric Dentistry Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M

University Pediatric Dentistry Associates — Billing Profile & Reimbursement Data

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University Pediatric Dentistry Associates — 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