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

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

Great Lakes Pediatric Dentistry PLLC (NPI 1144726506)

Field	Value
Entity Type	Organization
Organization	Great Lakes Pediatric Dentistry PLLC
Address	219 E Lincoln Ave
City	Fergus Falls
State	MN
ZIP	56537
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 4, 2018

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	9,590	$180	$1.7M
D1120	Prophylaxis–child	10,350	$50	$465.6K
D0120	Periodic oral evaluation - established patient	10,180	$40	$448.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,500	$30	$379.6K
D3220	N/A	3,150	$100	$324.9K
D2391	Resin‑based composite – one surface, posterior	3,590	$80	$287K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,370	$110	$253.7K
D0272	N/A	3,950	$40	$161.9K
D1351	Sealant - per tooth	3,080	$40	$126.4K
D0140	Limited oral evaluation – problem focused	2,140	$60	$119.9K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Great Lakes Pediatric Dentistry PLLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	70	610	$170	$518.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	61	240	730	$100	$243.2K
D2392	Post 2 surface resin‑based composite	118	270	540	$90	$161.5K
D0140	Limited oral evaluation – problem focused	120	390	730	$60	$153.3K
D0120	Periodic oral evaluation - established patient	50	740	430	$50	$120.3K
D2391	Resin‑based composite – one surface, posterior	33	250	420	$70	$116.6K
D2934	N/A	6	10	440	$260	$112.8K
D0330	N/A	323	370	590	$60	$109K
D0240	N/A	25	50	510	$30	$95.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	201	640	380	$50	$93.7K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Great Lakes Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Mental Health Center, Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.1M
Lake Region Healthcare Corporation	MN	General Acute Care Hospital	$0	$25.3M
New Dimensions Home Health Care, Inc	MN	Home Health Agency	$0	$9.4M
Apple Tree Dental	MN	General Practice Dentistry	$0	$7.5M
Community Addiction Recovery Enterprise Fergus Falls	MN	Substance Abuse Rehabilitation Facility	$0	$4.6M
Ringdahl Ambulances Inc	MN	Land Ambulance	$469.5K	$1.7M
Steven Thom	MN	Ophthalmology Physician	$421.2K	$0
Thrifty Drug Stores Inc	MN	Community/Retail Pharmacy	$98.4K	$48.2K
Joellen Kohlman-petrick	MN	Internal Medicine Physician	$126.2K	$0
Bruce Money	MN	Internal Medicine Physician	$90.3K	$0

Great Lakes Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

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Great Lakes Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

Sign up for Great Lakes Pediatric Dentistry 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