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.

Pediatric Dentistry And Orthodontics PLLC (NPI 1225546567)

Field	Value
Entity Type	Organization
Organization	Pediatric Dentistry And Orthodontics PLLC
Address	1 Lake St
City	New Britain
State	CT
ZIP	06052
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	January 22, 2018

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	23,600	$40	$920.5K
D0120	Periodic oral evaluation - established patient	19,540	$30	$566.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,590	$20	$470.1K
D8670	N/A	5,070	$80	$390.4K
D2392	Post 2 surface resin‑based composite	4,170	$90	$383.5K
D2391	Resin‑based composite – one surface, posterior	4,900	$80	$376.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,300	$100	$221.2K
D0150	Comprehensive oral evaluation – new or established patient	3,800	$60	$209.1K
D2930	N/A	1,150	$180	$205K
D0272	N/A	7,040	$30	$189.9K

Showing 1–10 of 26

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

Pediatric Dentistry And Orthodontics PLLC — 3 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	40	120	3,030	$60	$347.8K
D2930	N/A	19	50	340	$170	$246.3K
D2392	Post 2 surface resin‑based composite	36	390	620	$80	$144.8K
D1120	Prophylaxis–child	17	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	22	330	430	$60	$89.4K
D9230	N/A	24	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	19	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	26	210	370	$70	$79.3K
D1351	Sealant - per tooth	18	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	135	560	740	$20	$66.4K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Pediatric Dentistry And Orthodontics PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	General Acute Care Hospital	$0	$220M
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	Hospitalist Physician	$0	$22.2M
Adora Home Care, LLC	CT	In Home Supportive Care Agency	$0	$17M
Starling Physicians, PLLC	CT	Clinical Medical Laboratory	$809.9K	$4.4M
Liberty Integrated Behavioral Health, LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.1M
Liberty Home And Community Care LLC	CT	Home Health Agency	$0	$1.4M
Olivia Carter	CT	Psychiatric/Mental Health Nurse Practitioner	$20.8K	$1.2M
Rutland Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
New Britain Obstetrical & Gynecological Group PC	CT	Obstetrics & Gynecology Physician	$0	$1.1M
Edward Fitzpatrick	CT	Ophthalmology Physician	$757.6K	$0

Pediatric Dentistry And Orthodontics PLLC — Billing Profile & Reimbursement Data

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Pediatric Dentistry And Orthodontics PLLC — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry And Orthodontics 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