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

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

Rigby Pediatric Dental PLLC (NPI 1124657010)

Field	Value
Entity Type	Organization
Organization	Rigby Pediatric Dental PLLC
Address	688 Rigby Lake Circle, Suite 4
City	Rigby
State	ID
ZIP	83442
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 3, 2020

Payer Source	Total Paid
Medicaid	$576.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,870	$70	$259.6K
D2930	N/A	1,070	$90	$90.5K
D0150	Comprehensive oral evaluation – new or established patient	940	$80	$74.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	690	$100	$71.2K
D2392	Post 2 surface resin‑based composite	250	$80	$20.7K
D0330	N/A	220	$90	$20.7K
D1351	Sealant - per tooth	3,050	$1	$12.2K
D2391	Resin‑based composite – one surface, posterior	230	$50	$11.4K
D0145	N/A	380	$20	$5.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	90	$50	$4.6K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Rigby Pediatric Dental PLLC — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	25	50	750	$70	$171.2K
D1120	Prophylaxis–child	33	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	102	320	310	$80	$80.8K
D9420	N/A	23	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	101	190	280	$60	$72.9K
D0145	N/A	16	30	370	$50	$44K
D0330	N/A	77	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	78	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	75	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	49	220	220	$30	$21.2K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Van Wagoner Consulting, Inc.	ID	Case Management Agency	$0	$6.7M
Jefferson Joint School District 251	ID	Local Education Agency (LEA)	$0	$3.5M
Upper Valley Family Medicine PLLC	ID	Family Medicine Physician	$0	$1.9M
Robert Ellis	ID	Dentist	$0	$1.3M
West Wind Dental	ID	General Practice Dentistry	$0	$644.9K
Stephen Richins	ID	Medical Physician Assistant	$466.6K	$0
Mobley Physical Therapy PC	ID	Physical Therapy Clinic/Center	$0	$444.8K
Rigby Physical Therapy, PLLC	ID	Physical Therapist	$0	$363.1K
Cameron French	ID	Medical Physician Assistant	$173.9K	$0
Kay Bishop	ID	Specialist	$152.2K	$0

Rigby Pediatric Dental PLLC — Billing Profile & Reimbursement Data

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Rigby Pediatric Dental 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