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

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

Kiddsteeth PLLC (NPI 1104176445)

Field	Value
Entity Type	Organization
Organization	Kiddsteeth PLLC
Address	60 Four Mile Dr
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 13, 2012

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Key Findings

KIDDSTEETH PLLC reports $6.7M in lifetime Medicaid revenue and has no Medicare billing on file, making its commercial footprint effectively single-payer Medicaid in the available data. The provider's NPI has been enumerated since 2012-09-13 (~14 years ago), indicating an established presence in the market rather than a recent entrant.

Revenue concentration in Medicaid is meaningful: the top 3 Medicaid codes (D2392, D1120, D2930) account for 35.8% of this provider's total Medicaid revenue. Those codes individually generate $856.2K (12.9%), $788.9K (11.8%), and $736.6K (11.1%) respectively, signaling that a relatively small set of procedures drive a large share of billing.

The code mix is consistent with a high-volume pediatric dentistry practice focused on preventive care and routine restorative services. High-volume preventive codes include D1120 (Prophylaxis–child), D1206 (Topical Fluoride Treatment), D0120 (Periodic oral evaluation), and D1351 (Sealant), while restorative and operative work is represented by D2392 and D2930, indicating the practice delivers both routine prevention and a substantial amount of restorative treatment.

KIDDSTEETH shows strong competitive standing in several pediatric/preventive codes: D1206 and D0120 each rank in the 98th percentile statewide (D1206 ranks #7 of 259 providers, described as an "extreme outlier, far above typical state volume for this code"; D0120 ranks #7 of 298 providers with the same label). D1120 also ranks highly (#7 of 180, 97th percentile) and is described as "notably above typical state volume," which together point to market-leading volume in routine pediatric preventive services within Montana.

The practice is an extreme statewide outlier on several high-claim, low-unit-price codes associated with frequent point-of-care services: D1206 has 32.4K claims and $712.3K revenue, D0120 has 25.1K claims and $651.8K revenue, and D1120 has 23.2K claims and $788.9K revenue. Additionally, KIDDSTEETH ranks #1 of 23 providers for D0601 and D0602 (each described as "extreme outlier, far above typical state volume for this code"), indicating unusually large volumes for those specific codes compared with in-state peers.

While preventive services dominate by volume, the practice also performs notable restorative and operative procedures: D2392 (Post 2 surface resin‑based composite) is the single largest revenue code at $856.2K and is "notably above typical state volume" (ranks #10 of 131, 93rd percentile), and extractions appear in the mix (D7140 $112.1K). This blend suggests a high-throughput pediatric clinic that manages routine prevention and common restorative needs rather than specializing in complex multi-disciplinary care.

From a payer-mix and strategic perspective, KIDDSTEETH’s reliance on Medicaid (no Medicare billing) concentrates financial exposure to state policy and fee schedules; with $6.7M of Medicaid revenue and no Medicare revenue, changes in Medicaid policy or reimbursement would disproportionately affect the practice. The concentration of revenue in a handful of pediatric/preventive codes (35.8% in the top three) further increases sensitivity to reimbursement or utilization changes for those specific services.

Overall competitive signals are consistent: multiple codes rank in the top deciles statewide (several at 96–98th percentiles and a few at 100th percentile), indicating KALISPELL-based KIDDSTEETH is a major pediatric dental billing center in Montana. For analysts evaluating network capacity or contracting, this provider appears to be a high-volume Medicaid pediatric dental provider with particular strength in prophylaxis, fluoride, periodic evaluations, and select restorative procedures.

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	6,340	$140	$856.2K
D1120	Prophylaxis–child	23,200	$30	$788.9K
D2930	N/A	5,460	$140	$736.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32,380	$20	$712.3K
D0120	Periodic oral evaluation - established patient	25,070	$30	$651.8K
D0272	N/A	18,330	$20	$421.5K
D1351	Sealant - per tooth	11,920	$30	$333.8K
D1310	N/A	8,560	$40	$325.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,000	$50	$259.9K
D1330	N/A	8,880	$20	$213K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Kiddsteeth PLLC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	7	20	2,090	$120	$493.4K
D2392	Post 2 surface resin‑based composite	10	130	310	$120	$173.4K
D2929	N/A	6	10	400	$190	$126.3K
D1310	N/A	8	50	520	$40	$119.6K
D1351	Sealant - per tooth	7	60	590	$30	$101.4K
D1120	Prophylaxis–child	7	180	200	$30	$88.4K
D9310	N/A	19	40	450	$50	$74.1K
D1330	N/A	7	60	340	$20	$65.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	80	290	$50	$59.8K
D2393	Resin-based composite, three surfaces, posterior	49	60	70	$160	$59.6K

Showing 1–10 of 35

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M
Sunburst Community Service Foundation, Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M

Kiddsteeth PLLC — Billing Profile & Reimbursement Data

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Kiddsteeth PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References