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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Dental Specialists Of West Michigan (NPI 1184194433)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Specialists Of West Michigan
Address	2155 E Paris Ave Se Ste 120
City	Grand Rapids
State	MI
ZIP	49546
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 29, 2018

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	17,880	$190	$3.5M
D2392	Post 2 surface resin‑based composite	9,400	$120	$1.1M
D3220	N/A	8,390	$130	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,290	$90	$789.4K
D1120	Prophylaxis–child	15,320	$40	$613K
D2390	N/A	2,120	$200	$422.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,120	$30	$408.2K
D0120	Periodic oral evaluation - established patient	11,100	$30	$355.1K
D1354	N/A	10,930	$30	$295.2K
D0230	Intraoral - periapical each additional radiographic image	23,620	$10	$283.4K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Pediatric Dental Specialists Of West Michigan — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	200	660	$190	$434.6K
D2934	N/A	10	20	110	$230	$209.4K
D2390	N/A	4	30	310	$200	$179.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	31	640	440	$70	$174K
D2392	Post 2 surface resin‑based composite	22	1,170	260	$110	$134.9K
D3220	N/A	2	160	230	$120	$102.7K
D1351	Sealant - per tooth	125	600	420	$30	$98K
D2391	Resin‑based composite – one surface, posterior	183	950	210	$80	$83.5K
D2393	Resin-based composite, three surfaces, posterior	45	540	130	$120	$74.4K
D1510	N/A	6	70	70	$210	$70.6K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Specialists Of West Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliance Community Care Partners	MI	Case Management Agency	$0	$145.4M
Dental Group Associates PC	MI	Pediatric Dentistry	$0	$16.1M
Michigan Pain Consultants PC	MI	Pain Medicine (Anesthesiology) Physician	$0	$9.9M
Mitten Kids Dentistry Cascade Plc	MI	Pediatric Dentistry	$0	$7.2M
Carepoint Dental Anesthesia Group Of Michigan, PLLC	MI	Dental Anesthesiology	$0	$6.4M
Retina Specialists Of Michigan PC	MI	Retina Specialist (Ophthalmology) Physician	$0	$5.5M
Kathleen Dehorn	MI	Ophthalmology Physician	$1.7M	$0
Jeffrey Zheutlin	MI	Ophthalmology Physician	$1.5M	$0
Nathan Pezda	MI	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
East Paris Surgical Center, LLC	MI	Ambulatory Surgical Clinic/Center	$968.8K	$30.6K

Pediatric Dental Specialists Of West Michigan — Billing Profile & Reimbursement Data

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Pediatric Dental Specialists Of West Michigan — 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