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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Dunes Dental 4 Kids, LLP (NPI 1033668645)

Field	Value
Entity Type	Organization
Organization	Dunes Dental 4 Kids, LLP
Address	350 Oak Tree Ln Ste 100
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 23, 2016

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	6,870	$100	$693.6K
D2392	Post 2 surface resin‑based composite	8,120	$70	$576.3K
D1120	Prophylaxis–child	16,160	$30	$436.3K
D0120	Periodic oral evaluation - established patient	16,660	$20	$333.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,170	$20	$306.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,280	$50	$176.9K
D2391	Resin‑based composite – one surface, posterior	2,800	$60	$153.8K
D0272	N/A	9,360	$20	$149.8K
D9230	N/A	7,810	$20	$140.5K
D1351	Sealant - per tooth	4,000	$20	$88K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Dunes Dental 4 Kids, LLP — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	10	230	$180	$1.3M
D9420	N/A	3	10	640	$160	$317.3K
D3220	N/A	4	10	720	$100	$297.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	40	260	$90	$151.5K
D1351	Sealant - per tooth	11	50	400	$30	$117.3K
D2391	Resin‑based composite – one surface, posterior	7	40	150	$80	$115.5K
D2330	Resin-based composite - one surface, anterior	7	10	500	$90	$101.9K
D2392	Post 2 surface resin‑based composite	2	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	14	60	120	$140	$84.7K
D2331	N/A	7	10	240	$110	$78.4K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Dunes Dental 4 Kids, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnos PC	SD	Orthopaedic Surgery Physician	$0	$3.6M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Liem Som Oei Md PC	SD	Nephrology Physician	$0	$2.4M
Ear Nose And Throat Consultants And Hearing Services Plc	SD	Otolaryngology Physician	$0	$2.2M
Oral Surgery Assocates, P.C.	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$2.1M
Dunes Anesthesia PC	SD	Pain Medicine (Anesthesiology) Physician	$0	$1.1M
Midlands Clinic, P.C.	SD	Specialist	$0	$822.9K
Dunes Medical Laboratories	SD	Clinical Medical Laboratory	$303K	$416.6K
Beth Bruening	SD	Ophthalmology Physician	$704.9K	$2.2K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0

Dunes Dental 4 Kids, LLP — Billing Profile & Reimbursement Data

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Dunes Dental 4 Kids, LLP — 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