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

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

All About Kids Pediatric Dentistry (NPI 1184877201)

Field	Value
Entity Type	Organization
Organization	All About Kids Pediatric Dentistry
Address	127 Greyrock Pl
City	Stamford
State	CT
ZIP	06901
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 3, 2008

Payer Source	Total Paid
Medicaid	$39.5M
Medicare	$0

Key Findings

ALL ABOUT KIDS PEDIATRIC DENTISTRY is effectively a Medicaid-focused practice: there is no Medicare billing on file while total Medicaid revenue is $39.5M, indicating the entity operates almost entirely within the Medicaid payer channel rather than a mixed Medicare/Medicaid model. This single-payer concentration shapes the clinical mix, reimbursement exposure, and strategic positioning to be evaluated primarily against Connecticut Medicaid dynamics.

Revenue concentration is substantial at the code level: the precomputed top 3 Medicaid codes account for 46.6% of this provider's total Medicaid revenue, with D1120, D2392, and D0120 representing the largest shares. That degree of concentration means nearly half of Medicaid dollars flow through a short list of routine preventive and restorative codes, which can amplify financial sensitivity to policy or rate changes affecting those specific services.

The code mix indicates a high-volume pediatric preventive and restorative operation: D1120 (Prophylaxis–child), D0120 (Periodic oral evaluation - established patient), and D1208 (Topical application of fluoride - excluding varnish) are all among the highest-volume codes by claims (160.7K, 147.3K, and 159K claims respectively), and major restorative codes like D2392 and D2391 also generate large revenue. Together these codes point to a business model focused on routine well-child dental care plus substantial posterior composite restorations, consistent with a high-throughput pediatric dental clinic.

Competitive standing in Connecticut is dominant for many pediatric dental codes: the provider ranks #1 in-state and at the 100th percentile for high-volume codes including D1120 (rank #1 of 655), D2392 (rank #1 of 386), and D0120 (rank #1 of 729), and similarly leads statewide for D1208 and D1351. The dataset labels these positions as “extreme outlier, far above typical state volume for this code,” which characterizes the practice as a major volume leader in the state market rather than a typical or modest participant.

Several other codes show very high state rankings across preventive, diagnostic, and restorative categories (for example, D2391, D9230, D0272, D1351, D2393 all rank #1 of their peer sets), signaling breadth as well as scale in pediatric dental services. This pattern—dominant rank across multiple code families—suggests the provider captures both routine visits and a broad set of procedures rather than specializing narrowly in one niche.

There are notable high-dollar, lower-frequency services on the ledger alongside routine care: codes such as D8080 ($733.2K revenue, $581 avg paid/claim) and D2930 ($701.9K revenue, $196 avg paid/claim) appear in the top-25 list, indicating that while preventive visits drive volume, more complex or higher-paid procedures materially contribute to revenue. These items diversify revenue per encounter compared with a clinic that billed only low-cost preventive codes.

The provider’s tenure is long enough to suggest an established operation: the NPI was enumerated on 2008-11-03 (~18 years ago). This duration, combined with consistently high state rankings, supports the interpretation of a mature pediatric dental practice with sustained Medicaid patient throughput over multiple years.

Statistical outlier language in the data underscores abnormal concentration of activity: multiple entries are explicitly labeled “extreme outlier, far above typical state volume for this code” (for example D1120, D2392, D0120, D1208, D1351), and several additional codes are described as “notably above typical state volume.” For analysts, these flagged outlier designations indicate the provider is a meaningful statewide driver of utilization for pediatric dental services and should be benchmarked accordingly when assessing network capacity, rate setting, or program integrity risk exposure — described neutrally as high concentration and high volume rather than implying any improper behavior.

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	160,730	$40	$7.1M
D2392	Post 2 surface resin‑based composite	58,130	$110	$6.3M
D0120	Periodic oral evaluation - established patient	147,310	$30	$5M
D1208	Topical application of fluoride - excluding varnish	159,000	$30	$4.5M
D8670	N/A	38,470	$80	$2.9M
D2391	Resin‑based composite – one surface, posterior	20,720	$90	$1.9M
D9230	N/A	27,390	$60	$1.5M
D0272	N/A	45,240	$30	$1.4M
D1351	Sealant - per tooth	36,610	$40	$1.4M
D2393	Resin-based composite, three surfaces, posterior	9,820	$140	$1.4M

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

All About Kids Pediatric Dentistry — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	2	120	3,030	$60	$347.8K
D2930	N/A	5	50	340	$170	$246.3K
D9223	N/A	25	40	260	$310	$246.2K
D2392	Post 2 surface resin‑based composite	1	390	620	$80	$144.8K
D1120	Prophylaxis–child	1	660	570	$40	$120.7K
D8080	N/A	2	30	50	$570	$118.4K
D2391	Resin‑based composite – one surface, posterior	1	330	430	$60	$89.4K
D9230	N/A	1	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	1	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	210	370	$70	$79.3K

Showing 1–10 of 35

Nearby Providers

Other providers in the same ZIP code as All About Kids Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stamford Public Schools	CT	Local Education Agency (LEA)	$0	$12.9M
Liberation Programs Inc	CT	Adult Mental Health Clinic/Center	$128.5K	$9.6M
Liberation Programs Inc	CT	Substance Abuse Rehabilitation Facility	$0	$9.5M
Vision Consultants	CT	Optometrist	$0	$2.7M
Fredric Smilen	CT	Optometrist	$34.3K	$1.9M
Kenneth Blum	CT	Optometrist	$0	$1.9M
Family Centers Inc	CT	Health Service Clinic/Center	$0	$1.4M
Connecticut Renaissance, Inc.	CT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.4M
Stamford Counseling Center, Inc.	CT	Community/Behavioral Health Agency	$0	$1.1M
Sreevathsa Boraiah	CT	Orthopaedic Surgery Physician	$340.5K	$20.8K

All About Kids Pediatric Dentistry — Billing Profile & Reimbursement Data

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All About Kids Pediatric Dentistry — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References