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

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

Grand Blanc Pediatric Dentistry PC (NPI 1083180046)

Field	Value
Entity Type	Organization
Organization	Grand Blanc Pediatric Dentistry PC
Address	7227 Fenton Rd
City	Grand Blanc
State	MI
ZIP	48439
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 17, 2018

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	8,500	$190	$1.6M
D1120	Prophylaxis–child	14,850	$40	$579.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,960	$90	$506.8K
D0120	Periodic oral evaluation - established patient	13,220	$30	$409.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,630	$30	$406.5K
D2392	Post 2 surface resin‑based composite	3,330	$120	$385.7K
D3220	N/A	2,660	$130	$332.4K
D9420	N/A	1,660	$140	$233.4K
D2391	Resin‑based composite – one surface, posterior	2,000	$90	$179.6K
D1510	N/A	910	$190	$175.6K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Grand Blanc Pediatric Dentistry PC — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	15	200	660	$190	$434.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	64	640	440	$70	$174K
D2160	Amalgam - three surfaces, primary or permanent	39	50	90	$80	$153.5K
D2392	Post 2 surface resin‑based composite	121	1,170	260	$110	$134.9K
D2150	Amalgam - two surfaces, primary or permanent	35	120	150	$70	$134K
D3220	N/A	16	160	230	$120	$102.7K
D1351	Sealant - per tooth	87	600	420	$30	$98K
D2391	Resin‑based composite – one surface, posterior	135	950	210	$80	$83.5K
D2140	Amalgam - one surface, primary or permanent	60	90	120	$60	$73.8K
D1510	N/A	7	70	70	$210	$70.6K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Grand Blanc Pediatric Dentistry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Genesys Hospital	MI	General Acute Care Hospital	$0	$31.4M
Helping Hand Nursing Service, Inc	MI	Home Health Agency	$0	$9.2M
Emergency Medicine Physicians Of Genesee County, PLLC	MI	Emergency Medicine Physician	$0	$5.8M
Christopher Singh	MI	Ophthalmology Physician	$1.7M	$0
Ankur Mehta	MI	Ophthalmology Physician	$1.6M	$0
Riad Dali Ahmad	MI	Infectious Disease Physician	$1.1M	$0
The Center For Gastrointestinal Health At Health Park LLC	MI	Ambulatory Surgical Clinic/Center	$475.5K	$545.6K
Raafay Sophie	MI	Ophthalmology Physician	$839.4K	$0
Surgery Center At Health Park LLC	MI	Ambulatory Surgical Clinic/Center	$699.9K	$15.3K
Thomas Shuster	MI	Vascular Surgery Physician	$532.5K	$0

Grand Blanc Pediatric Dentistry PC — Billing Profile & Reimbursement Data

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Grand Blanc Pediatric Dentistry PC — 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