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

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

Hixson Pediatric Dentistry PLLC (NPI 1063814838)

Field	Value
Entity Type	Organization
Organization	Hixson Pediatric Dentistry PLLC
Address	5470 Hixson Pike Ste A
City	Hixson
State	TN
ZIP	37343
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 23, 2014

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	10,340	$110	$1.1M
D1120	Prophylaxis–child	16,060	$30	$481.8K
D0120	Periodic oral evaluation - established patient	15,530	$20	$357.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,370	$20	$216K
D2391	Resin‑based composite – one surface, posterior	2,480	$60	$141.2K
D0272	N/A	8,690	$20	$139.1K
D1208	Topical application of fluoride - excluding varnish	6,810	$20	$122.6K
D1351	Sealant - per tooth	3,270	$30	$91.6K
D9230	N/A	3,030	$30	$84.9K
D0220	Intraoral - periapical first radiographic image	6,820	$10	$81.8K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Hixson Pediatric Dentistry PLLC — 1 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	16	160	770	$110	$399.1K
D3220	N/A	45	110	610	$80	$167.4K
D1120	Prophylaxis–child	40	660	720	$30	$135.9K
D2392	Post 2 surface resin‑based composite	256	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	45	720	980	$20	$106.4K
D2934	N/A	6	10	190	$110	$92.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	128	370	350	$60	$82.8K
D2140	Amalgam - one surface, primary or permanent	41	80	230	$60	$78.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	45	650	730	$20	$72.1K
D1208	Topical application of fluoride - excluding varnish	53	440	950	$20	$71.8K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Hixson Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galen Medical Group, PC	TN	Internal Medicine Physician	$0	$10.2M
Agilitas Usa Inc	TN	Physical Therapy Clinic/Center	$0	$7.4M
Dental Center, Inc	TN	Dentist	$0	$7.4M
Lighthouse Kids Hixson, LLC	TN	Behavior Analyst	$0	$3.7M
Devon Ghodasra	TN	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Rohan Shah	TN	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$2.4M
Chattanooga Pain Management Center LLC	TN	Ambulatory Surgical Clinic/Center	$2.4M	$1.6K
Francis Decroos	TN	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Chelsea Schwind	TN	Dentist	$0	$2.2M

Hixson Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

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Hixson Pediatric Dentistry PLLC — 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