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

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

Kids Dentistry-lagrange, PLLC (NPI 1104196989)

Field	Value
Entity Type	Organization
Organization	Kids Dentistry-lagrange, PLLC
Address	2005 S Highway 53
City	La Grange
State	KY
ZIP	40031
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 10, 2012

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	13,300	$60	$744.6K
D2930	N/A	4,280	$120	$504.7K
D2392	Post 2 surface resin‑based composite	6,520	$70	$456.5K
D0120	Periodic oral evaluation - established patient	11,960	$20	$287.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,120	$20	$254.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,020	$60	$187.3K
D9230	N/A	4,970	$40	$173.8K
D2391	Resin‑based composite – one surface, posterior	3,070	$60	$168.6K
D0330	N/A	2,430	$50	$128.8K
D1351	Sealant - per tooth	5,780	$20	$127.1K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Kids Dentistry-lagrange, PLLC — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	24	160	610	$110	$228.6K
D1120	Prophylaxis–child	27	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	69	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	13	630	420	$60	$74.5K
D0150	Comprehensive oral evaluation – new or established patient	161	1,010	740	$30	$61.4K
D3220	N/A	34	100	280	$70	$56.8K
D9230	N/A	11	240	440	$30	$54.2K
D0330	N/A	118	840	420	$40	$52.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	153	860	480	$40	$48K
D1351	Sealant - per tooth	24	320	480	$20	$47.1K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Kids Dentistry-lagrange, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$16.1M
Wellfront Readiness Solutions	KY	Mental Health Counselor	$0	$4M
Mortenson Family Dental	KY	Dental Clinic/Center	$0	$2.8M
Oldham County Ambulance Taxing District	KY	Land Ambulance	$510.8K	$862.4K
Plavakeerthi Kemparajurs	KY	Family Medicine Physician	$205.5K	$0
Ryan Smith	KY	Emergency Medicine Physician	$130.7K	$0
Sarah Clark	KY	Family Nurse Practitioner	$117K	$0
Valentina Jenkins	KY	Psychiatric/Mental Health Nurse Practitioner	$105.2K	$0
Jacqueline Jennings	KY	Optometrist	$17.7K	$61.5K
Patrick Matthiessen	KY	Neurology Physician	$65.7K	$0

Kids Dentistry-lagrange, PLLC — Billing Profile & Reimbursement Data

Sign up for Kids Dentistry-lagrange, PLLC — Billing Profile & Reimbursement Data policy alerts

Kids Dentistry-lagrange, PLLC — Billing Profile & Reimbursement Data

Sign up for Kids Dentistry-lagrange, PLLC — 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