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

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

Childrens Dental Program PLLC (NPI 1225602022)

Field	Value
Entity Type	Organization
Organization	Childrens Dental Program PLLC
Address	22241 John R Rd
City	Hazel Park
State	MI
ZIP	48030
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 17, 2021

Payer Source	Total Paid
Medicaid	$6.2M
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
D2930	N/A	8,610	$200	$1.7M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,400	$100	$633.1K
D1120	Prophylaxis–child	11,480	$40	$482.2K
D2392	Post 2 surface resin‑based composite	2,810	$130	$373.3K
D0230	Intraoral - periapical each additional radiographic image	25,600	$10	$332.7K
D0120	Periodic oral evaluation - established patient	8,670	$40	$303.6K
D2391	Resin‑based composite – one surface, posterior	2,980	$100	$300.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,460	$30	$264.9K
D3220	N/A	1,780	$130	$235K
D1351	Sealant - per tooth	7,420	$30	$230.1K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Childrens Dental Program PLLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	14	200	660	$190	$434.6K
D2934	N/A	3	20	110	$230	$209.4K
D2390	N/A	10	30	310	$200	$179.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	56	640	440	$70	$174K
D2392	Post 2 surface resin‑based composite	141	1,170	260	$110	$134.9K
D3220	N/A	24	160	230	$120	$102.7K
D1351	Sealant - per tooth	58	600	420	$30	$98K
D2391	Resin‑based composite – one surface, posterior	90	950	210	$80	$83.5K
D1510	N/A	8	70	70	$210	$70.6K
D9420	N/A	28	60	140	$160	$59.1K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Childrens Dental Program PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hazel Park Primary Care LLC	MI	Family Medicine Physician	$0	$6.5M
Mohamed Saleh	MI	Family Medicine Physician	$82.7K	$364.5K
Emad Nakkash	MI	Ophthalmology Physician	$396K	$0
Iyad Alosachie	MI	Internal Medicine Physician	$151.5K	$0

Childrens Dental Program PLLC — Billing Profile & Reimbursement Data

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Childrens Dental Program PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References