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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Dental Associates (NPI 1265612469)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Associates
Address	404 S 5th St
City	Gadsden
State	AL
ZIP	35901
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 6, 2007

Payer Source	Total Paid
Medicaid	$2.4M
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
D2391	Resin‑based composite – one surface, posterior	4,550	$60	$255K
D1120	Prophylaxis–child	9,530	$30	$247.8K
D0120	Periodic oral evaluation - established patient	14,240	$20	$242.1K
D1208	Topical application of fluoride - excluding varnish	14,910	$10	$208.8K
D2392	Post 2 surface resin‑based composite	2,560	$70	$186.8K
D1999	N/A	8,940	$20	$169.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,690	$30	$159.3K
D2930	N/A	1,440	$90	$125.6K
D0272	N/A	7,120	$20	$121.1K
D0330	N/A	2,640	$40	$115.9K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Pediatric Dental Associates — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	52	120	1,240	$90	$233.9K
D2392	Post 2 surface resin‑based composite	67	280	520	$70	$144.9K
D1120	Prophylaxis–child	66	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	25	250	380	$60	$91.8K
D1999	N/A	49	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	54	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43	190	490	$50	$76.2K
D3220	N/A	20	60	350	$70	$70.1K
D0240	N/A	44	70	1,300	$20	$65.2K
D1351	Sealant - per tooth	73	180	710	$20	$63.3K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Dental Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$7.3M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$6.4M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$5.2M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.8M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.1M
David Ashley	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Of Life Health Services, Inc	AL	Community Health Clinic/Center	$0	$16.8M
Gadsden Pediatric Clinic, P.A.	AL	Pediatrics Physician	$0	$11.5M
Pediatric Dentistry East P.C.	AL	Pediatric Dentistry	$0	$5.4M
Northeast Alabama Pediatrics, P.C.	AL	Pediatrics Physician	$0	$5.3M
Prime Healthcare Services - Gadsden LLC	AL	General Acute Care Hospital	$0	$3.9M
Etowah County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$2.9M
Carr Mental Wellness, LLC	AL	Psychiatry Physician	$0	$2.2M
Alabama Emergency Physician Partners, LLC	AL	Emergency Medicine Physician	$0	$1.9M
George C. Stacey, Jr. D.m.d. Family Denistry P.C.	AL	Dentist	$0	$1.6M
Northeast Alabama Eye Surgery Center	AL	Ambulatory Surgical Clinic/Center	$1.3M	$6.4K

Pediatric Dental Associates — Billing Profile & Reimbursement Data

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Pediatric Dental Associates — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References