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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Summerville Pediatric Dentistry (NPI 1275764672)

Field	Value
Entity Type	Organization
Organization	Summerville Pediatric Dentistry
Address	405 W 5th North St Ste A
City	Summerville
State	SC
ZIP	29483
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 3, 2009

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	11,440	$30	$388.9K
D0120	Periodic oral evaluation - established patient	14,470	$20	$332.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,590	$50	$322.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,410	$20	$278.6K
D0272	N/A	8,890	$20	$168.9K
D2392	Post 2 surface resin‑based composite	1,480	$100	$141K
D2391	Resin‑based composite – one surface, posterior	1,760	$80	$135.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,480	$90	$126.9K
D0274	N/A	4,440	$30	$119.9K
D0330	N/A	2,370	$50	$113.5K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Summerville Pediatric Dentistry — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	123	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	103	350	520	$100	$175.3K
D1120	Prophylaxis–child	47	470	600	$30	$156.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	66	290	380	$90	$125K
D9230	N/A	86	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	62	300	270	$80	$110.5K
D1351	Sealant - per tooth	58	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	40	610	1,060	$20	$100K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	34	410	670	$20	$95.1K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dorchester County Disabilities And Special Needs Board	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.7M
Allied Medical Staffing	SC	In Home Supportive Care Agency	$0	$6.7M
Dorchester County Ems	SC	Ambulance	$1.4M	$2.5M
Dorchester School District Two	SC	Local Education Agency (LEA)	$0	$3.5M
Palmetto Kids Dentistry	SC	Dentist	$0	$2.6M
Roper Saint Francis Physicians Network	SC	Family Medicine Physician	$0	$1.7M
David Castellone	SC	Family Medicine Physician	$605K	$36.6K
Brian Keller	SC	Family Medicine Physician	$398K	$28.3K
Sara Montoya	SC	Family Medicine Physician	$388.5K	$0
Emily Kmetz	SC	Dermatology Physician	$332K	$0

Summerville Pediatric Dentistry — Billing Profile & Reimbursement Data

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Summerville Pediatric Dentistry — 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