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

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

Metropolitan Pediatric Dental Associates, Ltd (NPI 1245389246)

Field	Value
Entity Type	Organization
Organization	Metropolitan Pediatric Dental Associates, Ltd
Address	1021 Bandana Blvd E
City	Saint Paul
State	MN
ZIP	55108
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	32,700	$30	$1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,590	$20	$734.2K
D1120	Prophylaxis–child	24,290	$30	$704.3K
D2930	N/A	5,130	$90	$451.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,760	$50	$402.9K
D0272	N/A	14,630	$30	$365.7K
D0274	N/A	5,030	$40	$191.1K
D1351	Sealant - per tooth	6,910	$30	$186.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,890	$60	$173.5K
D9230	N/A	7,660	$10	$107.3K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Metropolitan Pediatric Dental Associates, Ltd — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	209	210	560	$60	$822.1K
D2930	N/A	16	70	610	$170	$518.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	52	240	730	$100	$243.2K
D2392	Post 2 surface resin‑based composite	81	270	540	$90	$161.5K
D0140	Limited oral evaluation – problem focused	189	390	730	$60	$153.3K
D0120	Periodic oral evaluation - established patient	9	740	430	$50	$120.3K
D2391	Resin‑based composite – one surface, posterior	123	250	420	$70	$116.6K
D0330	N/A	137	370	590	$60	$109K
D1354	N/A	74	80	370	$30	$108.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	39	640	380	$50	$93.7K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Metropolitan Pediatric Dental Associates, Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accord	MN	Community/Behavioral Health Agency	$0	$112.2M
Evergreen Recovery	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$47.2M
Allina Health System	MN	Family Medicine Physician	$0	$10.8M
Asian Adult Day Care LLC	MN	Respite Care	$0	$7.5M
Emily Program P C	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Gene Chen	MN	Ophthalmology Physician	$342.5K	$0
James Dorrian	MN	Dermatology Physician	$250K	$0
Stephen Mchale	MN	Otolaryngology Physician	$79.2K	$0
Jamie Hanson	MN	Dermatology Physician	$75.7K	$0
Joshua Woelk	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$30.5K	$0

Metropolitan Pediatric Dental Associates, Ltd — Billing Profile & Reimbursement Data

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Metropolitan Pediatric Dental Associates, Ltd — 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