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

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

Pediatric Dental Associates Ltd (NPI 1023276656)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Associates Ltd
Address	6404 Roosevelt Blvd
City	Philadelphia
State	PA
ZIP	19149
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 30, 2008

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	45,460	$40	$1.7M
D2930	N/A	10,210	$160	$1.7M
D1351	Sealant - per tooth	44,520	$30	$1.5M
D0120	Periodic oral evaluation - established patient	56,100	$30	$1.5M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	57,440	$20	$1.3M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12,480	$90	$1.1M
D2392	Post 2 surface resin‑based composite	11,870	$80	$973.1K
D9230	N/A	16,750	$60	$937.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,740	$50	$843.5K
D2391	Resin‑based composite – one surface, posterior	10,310	$70	$690.9K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Pediatric Dental Associates Ltd — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	200	290	$200	$223.1K
D9248	N/A	6	40	180	$240	$133.6K
D2933	N/A	7	20	110	$210	$102.3K
D3230	N/A	5	10	470	$170	$99.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5	710	230	$70	$49.7K
D1351	Sealant - per tooth	2	600	480	$30	$46.6K
D2392	Post 2 surface resin‑based composite	4	960	190	$70	$35.1K
D9230	N/A	2	330	210	$40	$32.8K
D3220	N/A	7	100	120	$80	$32.4K
D1120	Prophylaxis–child	2	1,240	220	$30	$30.1K

Showing 1–10 of 43

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$12.5M
Sydandi LLC	PA	Case Management Agency	$0	$10.7M
New Life Of Community Health Services, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.3M
Angels Of Care LLC	PA	In Home Supportive Care Agency	$0	$6.4M
Daniel Lin	PA	Family Medicine Physician	$127.1K	$2.4M
Matthew Hassey	PA	Optometrist	$164.6K	$23.9K
Jack Nemez	PA	Internal Medicine Physician	$51.5K	$0

Pediatric Dental Associates Ltd — Billing Profile & Reimbursement Data

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Pediatric Dental Associates Ltd — Billing Profile & Reimbursement Data

Sign up for Pediatric Dental Associates Ltd — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References