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

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

Pediatric Dentistry, P.A. (NPI 1134414733)

Field	Value
Entity Type	Organization
Organization	Pediatric Dentistry, P.A.
Address	5315 Highway 18 W
City	Jackson
State	MS
ZIP	39209
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 13, 2011

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
D8670	N/A	6,720	$100	$645.1K
D2392	Post 2 surface resin‑based composite	4,700	$100	$460.7K
D2930	N/A	3,650	$130	$459.4K
D2391	Resin‑based composite – one surface, posterior	5,010	$80	$376.1K
D1120	Prophylaxis–child	11,510	$30	$322.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,100	$70	$299.1K
D0120	Periodic oral evaluation - established patient	8,910	$30	$240.5K
D1208	Topical application of fluoride - excluding varnish	9,760	$20	$156.2K
D0150	Comprehensive oral evaluation – new or established patient	4,550	$30	$136.6K
D0272	N/A	6,260	$20	$106.4K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Pediatric Dentistry, P.A. — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	34	110	2,280	$90	$712.3K
D2930	N/A	37	160	1,130	$90	$267.6K
D2392	Post 2 surface resin‑based composite	21	360	360	$90	$112.4K
D1351	Sealant - per tooth	163	320	570	$20	$96.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	15	330	240	$110	$91K
D1120	Prophylaxis–child	42	740	1,040	$20	$79.8K
D3220	N/A	55	100	330	$60	$70.1K
D2390	N/A	2	10	250	$240	$59.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	203	580	640	$20	$57.5K
D2391	Resin‑based composite – one surface, posterior	9	290	290	$70	$57.5K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hinds County Mental Health Comission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.9M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$4.1M
North Grove Assisted Living	MS	Assisted Living Facility	$0	$2.9M
Alexander, Vincent & Alexandria LLC	MS	Home Health Agency	$0	$2.6M
Methodist Children's Homes	MS	Community/Behavioral Health Agency	$0	$1.7M
Phillip Barkley	MS	Dentist	$0	$1.2M
Kregg Bly	MS	Optometrist	$15.3K	$978.2K
Philip Massey	MS	Clinical Social Worker	$13.9K	$68.7K

Pediatric Dentistry, P.A. — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry, P.A. — Billing Profile & Reimbursement Data policy alerts

Pediatric Dentistry, P.A. — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry, P.A. — 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