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

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

Marble City Pediatric Dentistry (NPI 1114321643)

Field	Value
Entity Type	Organization
Organization	Marble City Pediatric Dentistry
Address	1039 W Fort Williams St
City	Sylacauga
State	AL
ZIP	35150
Taxonomy	Preferred Provider Organization
NPI Enumerated	October 13, 2014

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2393	Resin-based composite, three surfaces, posterior	6,380	$80	$535.5K
D1120	Prophylaxis–child	10,120	$30	$263.1K
D0120	Periodic oral evaluation - established patient	11,000	$20	$187K
D1208	Topical application of fluoride - excluding varnish	13,440	$10	$174.7K
D2930	N/A	1,940	$80	$160.9K
D1999	N/A	7,940	$20	$142.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,510	$50	$120.7K
D0330	N/A	2,260	$40	$97K
D9230	N/A	4,580	$20	$91.6K
D0272	N/A	5,390	$20	$86.2K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Marble City Pediatric Dentistry — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	41	120	1,240	$90	$233.9K
D1354	N/A	50	90	1,190	$20	$210.5K
D2392	Post 2 surface resin‑based composite	129	280	520	$70	$144.9K
D1120	Prophylaxis–child	60	520	810	$30	$104.3K
D1999	N/A	57	300	1,280	$20	$81.5K
D2393	Resin-based composite, three surfaces, posterior	4	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	71	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	37	190	490	$50	$76.2K
D0240	N/A	19	70	1,300	$20	$65.2K
D1351	Sealant - per tooth	51	180	710	$20	$63.3K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathway Pediatrics, Inc.	AL	Pediatrics Physician	$0	$8.6M
Sylacauga Pediatric Clinic, LLC	AL	Rural Health Clinic/Center	$0	$7.4M
Sylacauga Pediatric Clinic, LLC	AL	Pediatrics Physician	$0	$4.4M
Sylacauga Health Care Authority Inc	AL	Rural Acute Care Hospital	$0	$4.2M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$2.3M
Sylacauga Ambulance Service, Inc.	AL	Land Ambulance	$433.6K	$958.7K
Talladega County Health Dept-sylacauga Epsdt Cm	AL	Case Management Agency	$0	$1.2M
Family Eye Care Of Sylacauga LLC	AL	Optometrist	$0	$1.2M
Talladega County Health Dept-sylacauga Fp Clinic	AL	Public Health or Welfare Agency	$0	$951.3K
Hamo Neurology Clinic	AL	Neurology Physician	$0	$943.7K

Marble City Pediatric Dentistry — Billing Profile & Reimbursement Data

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Marble City Pediatric Dentistry — 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