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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 Sedation Specialist Of Connecticut LLC (NPI 1053704445)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Sedation Specialist Of Connecticut LLC
Address	120 East Ave
City	Norwalk
State	CT
ZIP	06851
Taxonomy	Dental Anesthesiology
NPI Enumerated	March 10, 2015

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9223	N/A	560	$980	$547.1K
D2930	N/A	2,110	$190	$398.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	920	$110	$96.3K
D0150	Comprehensive oral evaluation – new or established patient	850	$60	$51.1K
D9230	N/A	480	$60	$26.3K
D0272	N/A	490	$30	$14.8K
D0240	N/A	390	$20	$7.1K
D0220	Intraoral - periapical first radiographic image	160	$20	$2.6K
D1351	Sealant - per tooth	40	$30	$880
D0230	Intraoral - periapical each additional radiographic image	20	$20	$310

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Pediatric Dental Sedation Specialist Of Connecticut LLC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	50	340	$170	$246.3K
D9223	N/A	15	40	260	$310	$246.2K
D9230	N/A	60	110	550	$50	$88.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	58	210	370	$70	$79.3K
D1351	Sealant - per tooth	191	190	580	$30	$70K
D0150	Comprehensive oral evaluation – new or established patient	157	480	380	$40	$51.4K
D0272	N/A	95	270	180	$30	$42.5K
D0240	N/A	11	20	390	$20	$38.9K
D0220	Intraoral - periapical first radiographic image	360	500	590	$10	$20.6K
D0230	Intraoral - periapical each additional radiographic image	369	380	510	$10	$19.4K

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Sedation Specialist Of Connecticut LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Center For Advanced Pediatrics, P.C	CT	Pediatrics Physician	$0	$7M
Mid-fairfield Child Guidance Center	CT	Community/Behavioral Health Agency	$0	$5.5M
Simon Bangiyev Dds, Md, PC Dba Premier Oral Surgery	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$5.3M
Keystone House Inc.	CT	Mental Illness Community Based Residential Treatment Facility	$0	$3.4M
Allergy Center Of Connecticut, PC	CT	Allergy & Immunology Physician	$0	$2.6M
Richard A. Fichman, Md PC	CT	Ophthalmology Physician	$0	$2.5M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$2.3M
East Avenue Pediatrics PC	CT	Pediatrics Physician	$0	$1.8M
Robert L. Weiss, Md, PC	CT	Specialist	$0	$1.8M
Erol Verter	CT	Ophthalmology Physician	$1.7M	$0

Pediatric Dental Sedation Specialist Of Connecticut LLC — Billing Profile & Reimbursement Data

Sign up for Pediatric Dental Sedation Specialist Of Connecticut LLC — Billing Profile & Reimbursement Data policy alerts

Pediatric Dental Sedation Specialist Of Connecticut LLC — Billing Profile & Reimbursement Data

Sign up for Pediatric Dental Sedation Specialist Of Connecticut LLC — 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