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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Plaistow Pediatric Dentistry & Orthodontics (NPI 1235522558)

Field	Value
Entity Type	Organization
Organization	Plaistow Pediatric Dentistry & Orthodontics
Address	166 Plaistow Rd
City	Plaistow
State	NH
ZIP	03865
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 11, 2015

Payer Source	Total Paid
Medicaid	$282.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	2,330	$40	$88.4K
D0120	Periodic oral evaluation - established patient	2,530	$30	$78.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,700	$20	$32.2K
D9230	N/A	780	$40	$29.5K
D1208	Topical application of fluoride - excluding varnish	1,110	$20	$20K
D0272	N/A	630	$30	$16.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	140	$50	$7.5K
D2150	Amalgam - two surfaces, primary or permanent	60	$110	$6.3K
D0150	Comprehensive oral evaluation – new or established patient	50	$50	$2.5K
D0330	N/A	30	$30	$1.1K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Plaistow Pediatric Dentistry & Orthodontics — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2150	Amalgam - two surfaces, primary or permanent	7	10	140	$100	$180K
D9230	N/A	20	40	710	$40	$96.9K
D1120	Prophylaxis–child	34	160	250	$40	$89.7K
D0120	Periodic oral evaluation - established patient	36	190	240	$30	$73.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	77	140	200	$50	$51.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23	100	250	$20	$46.5K
D0272	N/A	28	70	440	$30	$45.2K
D1208	Topical application of fluoride - excluding varnish	41	130	280	$20	$40.1K
D0150	Comprehensive oral evaluation – new or established patient	78	100	170	$50	$39.9K
D0274	N/A	94	100	140	$30	$32.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimi Nichols Center	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$9.9M
Timberlane Regional School District	NH	Local Education Agency (LEA)	$0	$1.5M
Pinnacle Rehabilitation Network, LLC	NH	Physical Therapist	$0	$676.7K
Plaistow Pediatric Dentistry & Orthodontics, PLLC	NH	Pediatric Dentistry	$0	$266.9K
Plaistow Dental Implant And Oral Surgery Center	NH	Oral and Maxillofacial Surgery Clinic/Center	$0	$259.9K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$194.3K	$0
Tami Recesso	NH	Physical Therapist	$185K	$0
Nelson Matos	NH	Family Medicine Physician	$52.9K	$125.6K
Eric Combs	NH	Physical Therapist	$97.8K	$0
James R Vitale	NH	Optometrist	$0	$75.9K

Plaistow Pediatric Dentistry & Orthodontics — Billing Profile & Reimbursement Data

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Plaistow Pediatric Dentistry & Orthodontics — Billing Profile & Reimbursement Data

Sign up for Plaistow Pediatric Dentistry & Orthodontics — 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