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

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

Gillette Pediatric Dentistry LLC (NPI 1013289966)

Field	Value
Entity Type	Organization
Organization	Gillette Pediatric Dentistry LLC
Address	433 Shadow Ridge Blvd
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 7, 2012

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Key Findings

GILLETTE PEDIATRIC DENTISTRY LLC is a pediatric dentistry practice (NPI enumerated 2012-02-07 (~14 years ago)) with $2.9M in lifetime Medicaid revenue and no Medicare billing on file, making its footprint effectively single-payer (Medicaid)-driven rather than dual-payer. The absence of Medicare activity suggests the provider’s patient mix and service focus are concentrated on children and Medicaid-covered pediatric populations.

Revenue is highly concentrated in preventive pediatric services: the precomputed top 3 Medicaid codes by revenue account for 44.8% of this provider's total Medicaid revenue. Those top three are D1206 $477K (16.7%), D1120 $420.2K (14.7%), and D0120 $381.8K (13.4%), indicating a major share of revenue comes from fluoride application, child prophylaxis, and periodic evaluations.

The code mix and volumes indicate an operation focused on high-throughput preventive care and routine visits rather than specialist or complex procedures. High counts on preventive codes (D1206 14K claims, D1120 12.4K claims, D0120 11.9K claims) combined with sizable contributions from sealants (D1351 $181.9K, 6.4%) and restorations (D2392 $326.2K, 11.4%) point to a practice model centered on pediatric preventive maintenance with in-office restorative capacity.

GILLETTE shows a dominant in-state competitive standing on core preventive codes: D1206 ranks #3 of 103 providers in-state (98th percentile; notably above typical state volume for this code), D1120 ranks #3 of 95 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), and D0120 ranks #3 of 133 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code). These rank/percentile positions indicate the provider is a major statewide participant for routine pediatric preventive care.

Beyond the top three, the practice posts elevated volumes on several supporting codes that reinforce the preventive/restorative profile: D2392 $326.2K (11.4%) ranks #3 of 28 providers in-state (93th percentile; notably above typical state volume for this code), D0272 9.8K claims $147.3K (5.2%) ranks #2 of 40 providers in-state (97th percentile; notably above typical state volume for this code), and D0274 $69.7K (2.4%) ranks #2 of 60 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code). These patterns show substantial ancillary imaging and restorative throughput supporting the preventive services.

Payer-concentration risk is material: with $2.9M of lifetime revenue entirely from Medicaid and no Medicare billing on file, changes in state Medicaid policy, fee schedules, or network participation could materially affect volumes and revenue. Analysts should treat this entity as Medicaid-dependent when assessing reimbursement exposure or negotiating managed-care relationships.

While several codes are state-level outliers on volume, other procedure lines remain modest or typical for the state—examples include D2391 $186.1K (6.5%) ranking #4 of 22 providers (86th percentile; typical, unremarkable volume) and D7140 $21.2K (0.7%) ranking #11 of 21 providers (50th percentile; typical, unremarkable volume). This mix suggests the practice emphasizes high-volume preventive and basic restorative care rather than surgical extractions or low-frequency specialty procedures.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,030	$30	$477K
D1120	Prophylaxis–child	12,360	$30	$420.2K
D0120	Periodic oral evaluation - established patient	11,930	$30	$381.8K
D2392	Post 2 surface resin‑based composite	3,590	$90	$326.2K
D2391	Resin‑based composite – one surface, posterior	2,420	$80	$186.1K
D1351	Sealant - per tooth	6,740	$30	$181.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,300	$50	$161.8K
D0272	N/A	9,820	$20	$147.3K
D0330	N/A	2,260	$50	$121.8K
D0220	Intraoral - periapical first radiographic image	6,240	$20	$93.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Gillette Pediatric Dentistry LLC — 8 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	10	810	$130	$141.9K
D2392	Post 2 surface resin‑based composite	3	30	230	$90	$87.4K
D1351	Sealant - per tooth	5	30	200	$30	$64.6K
D2391	Resin‑based composite – one surface, posterior	4	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3	100	130	$30	$46.4K
D9248	N/A	6	10	270	$100	$40.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	20	300	$70	$40.1K
D1120	Prophylaxis–child	3	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	3	130	170	$30	$36.9K
D9230	N/A	2	20	360	$20	$35.9K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Bailey	UT	Pediatric Dentistry	$0	$4.5M
David Bailey	WY	Pediatric Dentistry	$0	$2.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normative Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.5M
Lgbtq Telepsychiatry	WY	Psychiatric/Mental Health Nurse Practitioner	$0	$3.9M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K
Senior Citizens Council	WY	Home Health Agency	$0	$959.7K
Brandy Nielsen	WY	Case Manager/Care Coordinator	$0	$926.1K

Gillette Pediatric Dentistry LLC — Billing Profile & Reimbursement Data

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Gillette Pediatric Dentistry LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References