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

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

Central Coast Pediatric Dental Group (NPI 1205922705)

Field	Value
Entity Type	Organization
Organization	Central Coast Pediatric Dental Group
Address	633 E Alvin Dr Ste B
City	Salinas
State	CA
ZIP	93906
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$51.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	165,630	$60	$9.1M
D1120	Prophylaxis–child	200,690	$40	$7.6M
D2930	N/A	64,650	$120	$7.4M
D1310	N/A	77,040	$50	$3.5M
D3220	N/A	34,280	$100	$3.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	200,180	$20	$3M
D2150	Amalgam - two surfaces, primary or permanent	39,430	$70	$2.6M
D9993	N/A	33,810	$60	$2.2M
D1351	Sealant - per tooth	75,270	$30	$2.1M
D7111	N/A	24,690	$60	$1.4M

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Central Coast Pediatric Dental Group — 25 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	720	880	$120	$436.7K
D3220	N/A	3	650	660	$100	$259.2K
D0120	Periodic oral evaluation - established patient	2	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	2	5,260	680	$40	$137.9K
D1310	N/A	2	1,470	520	$40	$123.3K
D2150	Amalgam - two surfaces, primary or permanent	2	1,740	500	$70	$113K
D9230	N/A	12	1,060	500	$40	$102.2K
D1351	Sealant - per tooth	3	2,310	760	$30	$96K
D0150	Comprehensive oral evaluation – new or established patient	28	6,220	560	$60	$91.9K
D9993	N/A	1	980	430	$50	$90.2K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Coast Pediatric Dental Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Coast Pediatric Dental Group	CA	Pediatric Dentistry	$0	$26.4M

Nearby Providers

Other providers in the same ZIP code as Central Coast Pediatric Dental Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monterey County Behavioral Health Division	CA	Community/Behavioral Health Agency	$0	$137.8M
County Of Monterey	CA	Adult Mental Health Clinic/Center	$0	$74.8M
Hsp40248f	CA	General Acute Care Hospital	$0	$47.3M
County Of Monterey	CA	Pediatrics Physician	$0	$31.8M
County Of Monterey	CA	Family Medicine Physician	$0	$27.1M
Clinica De Salud Del Valle De Salinas	CA	Federally Qualified Health Center (FQHC)	$0	$24.6M
County Of Monterey	CA	Internal Medicine Physician	$0	$22.5M
Patrick Jordan	CA	Podiatrist	$167.7K	$0
Edgar Castellanos	CA	Family Medicine Physician	$155.8K	$0
Patricia Mayer	CA	Family Medicine Physician	$153.1K	$0

Central Coast Pediatric Dental Group — Billing Profile & Reimbursement Data

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Central Coast Pediatric Dental Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References