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

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

Cavity Commando's Dentistry For Kids PLLC (NPI 1215592340)

Field	Value
Entity Type	Organization
Organization	Cavity Commando's Dentistry For Kids PLLC
Address	1265 Interstate Dr Ste 101
City	Cookeville
State	TN
ZIP	38501
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 3, 2019

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	13,850	$110	$1.5M
D1120	Prophylaxis–child	34,620	$30	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	36,820	$20	$773.1K
D0120	Periodic oral evaluation - established patient	26,670	$20	$640K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,510	$60	$465.6K
D1351	Sealant - per tooth	10,910	$30	$338.3K
D0150	Comprehensive oral evaluation – new or established patient	10,270	$30	$297.8K
D3220	N/A	3,150	$80	$255.2K
D2391	Resin‑based composite – one surface, posterior	4,030	$60	$245.7K
D0272	N/A	14,050	$20	$210.7K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Cavity Commando's Dentistry For Kids PLLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	160	770	$110	$399.1K
D3220	N/A	21	110	610	$80	$167.4K
D1120	Prophylaxis–child	17	660	720	$30	$135.9K
D2390	N/A	3	10	160	$150	$126.1K
D2392	Post 2 surface resin‑based composite	95	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	25	720	980	$20	$106.4K
D2929	N/A	5	20	260	$110	$92.7K
D2931	N/A	8	10	60	$130	$85.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13	370	350	$60	$82.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14	650	730	$20	$72.1K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Cavity Commando's Dentistry For Kids PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Caregivers Of Cookeville	TN	Home Health Agency	$0	$49.6M
Cookeville Regional Medical Center	TN	General Acute Care Hospital	$0	$17.1M
Senior Life Management LLC	TN	In Home Supportive Care Agency	$0	$13.3M
Putnam County Pediatrics	TN	Pediatrics Physician	$0	$8.4M
Tennessee Pediatric & Adolescent Center	TN	Legal Medicine	$0	$7M
County Of Putnam	TN	Land Ambulance	$1.7M	$4M
Womens Health Services Of The Cumberlands, PLLC	TN	Obstetrics & Gynecology Physician	$0	$5.6M
Cookeville Regional Dental Inc	TN	Dentist	$0	$5.4M
Cookeville Pediatric Associates, PLLC	TN	Pediatrics Physician	$0	$5M
Upper Cumberland Rural Health Clinic PLLC	TN	Rural Health Clinic/Center	$0	$3.6M

Cavity Commando's Dentistry For Kids PLLC — Billing Profile & Reimbursement Data

Sign up for Cavity Commando's Dentistry For Kids PLLC — Billing Profile & Reimbursement Data policy alerts

Cavity Commando's Dentistry For Kids PLLC — Billing Profile & Reimbursement Data

Sign up for Cavity Commando's Dentistry For Kids PLLC — 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