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

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

North Jefferson Pediatric Dentistry, LLC (NPI 1043351950)

Field	Value
Entity Type	Organization
Organization	North Jefferson Pediatric Dentistry, LLC
Address	925 Sharit Ave
City	Gardendale
State	AL
ZIP	35071
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	9,920	$30	$257.8K
D0120	Periodic oral evaluation - established patient	12,230	$20	$232.3K
D1208	Topical application of fluoride - excluding varnish	11,470	$20	$172.1K
D2392	Post 2 surface resin‑based composite	1,710	$80	$136.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,370	$40	$124.6K
D1999	N/A	8,570	$10	$120K
D0330	N/A	1,860	$50	$85.5K
D9230	N/A	3,870	$20	$81.4K
D0272	N/A	3,370	$20	$57.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	740	$50	$39.7K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

North Jefferson Pediatric Dentistry, LLC — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	82	280	520	$70	$144.9K
D1120	Prophylaxis–child	62	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	113	250	380	$60	$91.8K
D1999	N/A	54	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	64	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	84	190	490	$50	$76.2K
D0240	N/A	48	70	1,300	$20	$65.2K
D1351	Sealant - per tooth	93	180	710	$20	$63.3K
D0330	N/A	95	390	410	$40	$61.2K
D1208	Topical application of fluoride - excluding varnish	64	540	970	$10	$60.1K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alignmed Partners, PC	AL	Geriatric Medicine (Internal Medicine) Physician	$0	$16.8M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.1M
North Jefferson Pediatrics	AL	Specialist	$0	$1.8M
Andrew Ellard	AL	Physical Therapist	$185.4K	$0
Ryan Carlton	AL	Family Nurse Practitioner	$172.7K	$0
Ricky Tubbs	AL	Internal Medicine Physician	$132.8K	$0
Ashley Pauldin	AL	Family Nurse Practitioner	$109.9K	$0
Edward Tucker	AL	Psychiatric/Mental Health Nurse Practitioner	$102.2K	$0
Hali Mcdonald	AL	Nurse Practitioner	$80K	$0
Howard Day	AL	Optometrist	$34.2K	$0

North Jefferson Pediatric Dentistry, LLC — Billing Profile & Reimbursement Data

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North Jefferson Pediatric Dentistry, LLC — 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