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.

Madera Kids Dental World (NPI 1235406331)

Field	Value
Entity Type	Organization
Organization	Madera Kids Dental World
Address	2295 W Cleveland Ave Ste D
City	Madera
State	CA
ZIP	93637
Taxonomy	Dental Clinic/Center
NPI Enumerated	November 18, 2011

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	62,270	$120	$7.2M
D3220	N/A	30,480	$100	$3M
D0120	Periodic oral evaluation - established patient	50,440	$60	$2.8M
D1120	Prophylaxis–child	68,850	$40	$2.7M
D1310	N/A	25,020	$50	$1.1M
D2150	Amalgam - two surfaces, primary or permanent	16,540	$70	$1.1M
D1208	Topical application of fluoride - excluding varnish	68,900	$20	$1M
D1351	Sealant - per tooth	31,610	$30	$948.4K
D0150	Comprehensive oral evaluation – new or established patient	14,610	$60	$935.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	16,510	$60	$908.1K

Showing 1–10 of 34

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

Madera Kids Dental World — 20 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	720	880	$120	$436.7K
D3220	N/A	7	650	660	$100	$259.2K
D0120	Periodic oral evaluation - established patient	36	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	31	5,260	680	$40	$137.9K
D1310	N/A	29	1,470	520	$40	$123.3K
D2150	Amalgam - two surfaces, primary or permanent	22	1,740	500	$70	$113K
D9230	N/A	17	1,060	500	$40	$102.2K
D1351	Sealant - per tooth	30	2,310	760	$30	$96K
D0150	Comprehensive oral evaluation – new or established patient	39	6,220	560	$60	$91.9K
D9993	N/A	20	980	430	$50	$90.2K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Madera Kids Dental World, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camarena Health	CA	Federally Qualified Health Center (FQHC)	$0	$32.9M
Ning Lin	CA	Ophthalmology Physician	$207.8K	$200.7K
Mohammad Ashraf	CA	Internal Medicine Physician	$346.7K	$0
Ghassan Bachir	CA	Surgery Physician	$208.7K	$0
Yasmeen Khalid	CA	Rheumatology Physician	$129.9K	$0
Ho Kang	CA	Specialist	$76.3K	$17.9K
Rame Iberdemaj	CA	Surgery Physician	$51K	$0
Young Kim	CA	Anesthesiology Physician	$17.1K	$0

Madera Kids Dental World — Billing Profile & Reimbursement Data

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Madera Kids Dental World — Billing Profile & Reimbursement Data

Sign up for Madera Kids Dental World — 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