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

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

Southern Maine Pediatric Dentistry (NPI 1184814568)

Field	Value
Entity Type	Organization
Organization	Southern Maine Pediatric Dentistry
Address	75 John Roberts Rd
City	South Portland
State	ME
ZIP	04106
Taxonomy	Dental Clinic/Center
NPI Enumerated	July 31, 2007

Payer Source	Total Paid
Medicaid	$467.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	5,100	$30	$127.5K
D1120	Prophylaxis–child	3,860	$30	$123.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,810	$20	$87.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,170	$40	$44.5K
D2392	Post 2 surface resin‑based composite	340	$90	$30.1K
D9230	N/A	990	$30	$28.6K
D0272	N/A	850	$20	$15.3K
D0220	Intraoral - periapical first radiographic image	290	$10	$3.4K
D1351	Sealant - per tooth	120	$20	$2.8K
D2391	Resin‑based composite – one surface, posterior	20	$80	$1.8K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Southern Maine Pediatric Dentistry — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	37	80	260	$80	$88.2K
D1351	Sealant - per tooth	69	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	23	160	500	$30	$56.2K
D0120	Periodic oral evaluation - established patient	14	140	480	$20	$46.8K
D2391	Resin‑based composite – one surface, posterior	67	70	230	$60	$43.2K
D0150	Comprehensive oral evaluation – new or established patient	97	100	310	$50	$39.3K
D0330	N/A	94	110	240	$40	$36.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19	190	470	$10	$31.8K
D9230	N/A	11	30	680	$20	$30.7K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha One	ME	Case Management Agency	$0	$121.3M
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M

Southern Maine Pediatric Dentistry — Billing Profile & Reimbursement Data

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Southern Maine Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for Southern Maine Pediatric Dentistry — 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