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

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

Children's Dental Of Waltham, P.C. (NPI 1184768426)

Field	Value
Entity Type	Organization
Organization	Children's Dental Of Waltham, P.C.
Address	695 Main St
City	Waltham
State	MA
ZIP	02451
Taxonomy	General Practice Dentistry
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	27,970	$50	$1.4M
D0120	Periodic oral evaluation - established patient	33,820	$30	$980.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	36,510	$30	$949.2K
D2392	Post 2 surface resin‑based composite	7,120	$120	$840.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,980	$70	$610.8K
D1351	Sealant - per tooth	14,450	$40	$592.4K
D0272	N/A	10,230	$30	$307K
D2391	Resin‑based composite – one surface, posterior	3,030	$90	$278.8K
D0274	N/A	5,710	$40	$251.4K
D0330	N/A	3,970	$60	$250K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Children's Dental Of Waltham, P.C. — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	82	90	830	$180	$325.7K
D1120	Prophylaxis–child	12	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	82	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	294	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	32	780	420	$80	$109.6K
D1351	Sealant - per tooth	21	450	490	$40	$101.3K
D2391	Resin‑based composite – one surface, posterior	84	660	340	$60	$84.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9	690	460	$30	$81.1K
D0120	Periodic oral evaluation - established patient	17	1,510	980	$20	$78.6K
D0274	N/A	82	1,160	580	$30	$60.6K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Children's Dental Of Waltham, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jewish Family & Children's Service	MA	Foster Care Agency	$0	$11.6M
Exosome Diagnostics, Inc.	MA	Clinical Medical Laboratory	$8.9M	$310.6K
West Suburban Eye Surgery Center LLC	MA	Ophthalmologic Surgery Clinic/Center	$4.9M	$1.2M
Quantum Pathology, LLC	MA	Anatomic Pathology & Clinical Pathology Physician	$3.1M	$913.7K
Boston Eye Surgery & Laser Center Trust	MA	Ambulatory Surgical Clinic/Center	$2.4M	$67.1K
Peter Chang	MA	Ophthalmology Physician	$1.3M	$0
Boston Out-patient Surgical Suites, LLC	MA	Ambulatory Surgical Clinic/Center	$693.9K	$0
Stephen Anesi	MA	Ophthalmology Physician	$550.8K	$0
Geoffrey Van Flandern	MA	Orthopaedic Surgery Physician	$408.1K	$0
Ambika Hoguet	MA	Ophthalmology Physician	$375.6K	$0

Children's Dental Of Waltham, P.C. — Billing Profile & Reimbursement Data

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Children's Dental Of Waltham, P.C. — 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