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

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

Central Coast Pediatric Dental Group (NPI 1033242144)

Field	Value
Entity Type	Organization
Organization	Central Coast Pediatric Dental Group
Address	945 Blanco Circle Suite D
City	Salinas
State	CA
ZIP	93901
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	88,500	$50	$4.8M
D2930	N/A	37,430	$110	$4.3M
D1120	Prophylaxis–child	107,400	$40	$4M
D1310	N/A	40,060	$50	$1.8M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	105,870	$20	$1.6M
D3220	N/A	15,550	$100	$1.5M
D9993	N/A	18,320	$60	$1.2M
D1351	Sealant - per tooth	40,390	$30	$1.1M
D2150	Amalgam - two surfaces, primary or permanent	14,430	$60	$909.2K
D7111	N/A	13,480	$60	$768.3K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Central Coast Pediatric Dental Group — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	720	880	$120	$436.7K
D3220	N/A	21	650	660	$100	$259.2K
D0120	Periodic oral evaluation - established patient	13	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	13	5,260	680	$40	$137.9K
D1310	N/A	11	1,470	520	$40	$123.3K
D2150	Amalgam - two surfaces, primary or permanent	30	1,740	500	$70	$113K
D9230	N/A	49	1,060	500	$40	$102.2K
D1351	Sealant - per tooth	19	2,310	760	$30	$96K
D0150	Comprehensive oral evaluation – new or established patient	175	6,220	560	$60	$91.9K
D9993	N/A	10	980	430	$50	$90.2K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Coast Pediatric Dental Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Coast Pediatric Dental Group	CA	Pediatric Dentistry	$0	$51.4M

Nearby Providers

Other providers in the same ZIP code as Central Coast Pediatric Dental Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salinas Valley Memorial Healthcare System	CA	General Acute Care Hospital	$0	$119M
County Of Monterey Behavioral Health	CA	Clinical Child & Adolescent Psychologist	$0	$41.1M
Svmhs Clinics	CA	Multi-Specialty Clinic/Center	$0	$34.2M
American Medical Response West	CA	Ambulance	$4.8M	$9.8M
Vantage Surgery Center, L P	CA	Ambulatory Surgical Clinic/Center	$2.8M	$645K
Monterey Peninsula Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$924.4K	$2.1M
David Greene	CA	Radiation Oncology Physician	$2.3M	$119.1K
Kevin Chen	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Advanced Medical Surgery Center A Medical Corporation	CA	Ambulatory Surgical Clinic/Center	$1.6M	$39.7K
Horng Bruce Lin	CA	Vascular & Interventional Radiology Physician	$1.7M	$0

Central Coast Pediatric Dental Group — Billing Profile & Reimbursement Data

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Central Coast Pediatric Dental Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References