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

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

Kool Koala Pediatric And Adolescent Dentistry (NPI 1295112043)

Field	Value
Entity Type	Organization
Organization	Kool Koala Pediatric And Adolescent Dentistry
Address	501 Whitehorse Pike
City	Collingswood
State	NJ
ZIP	08107
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 30, 2015

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	28,740	$90	$2.7M
D1120	Prophylaxis–child	93,870	$30	$2.5M
D1351	Sealant - per tooth	111,370	$20	$2.1M
D2392	Post 2 surface resin‑based composite	39,440	$50	$2M
D0120	Periodic oral evaluation - established patient	72,460	$20	$1.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	96,030	$20	$1.6M
D2391	Resin‑based composite – one surface, posterior	24,660	$40	$1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17,110	$50	$804.1K
D9420	N/A	2,520	$290	$736.1K
D2933	N/A	4,490	$120	$551.9K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Kool Koala Pediatric And Adolescent Dentistry — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	2	70	100	$150	$262.7K
D2930	N/A	2	170	340	$100	$154.2K
D9420	N/A	2	40	180	$260	$114K
D2933	N/A	1	10	320	$120	$108.6K
D1351	Sealant - per tooth	5	510	780	$20	$106.8K
D2392	Post 2 surface resin‑based composite	4	910	380	$50	$86K
D1120	Prophylaxis–child	4	1,230	340	$30	$76.6K
D0120	Periodic oral evaluation - established patient	9	1,690	610	$20	$60.7K
D3220	N/A	1	130	150	$50	$52.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	890	360	$20	$50.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Kool Koala Pediatric And Adolescent Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Super	NJ	Chiropractor	$55.5K	$0

Kool Koala Pediatric And Adolescent Dentistry — Billing Profile & Reimbursement Data

Sign up for Kool Koala Pediatric And Adolescent Dentistry — Billing Profile & Reimbursement Data policy alerts

Kool Koala Pediatric And Adolescent Dentistry — Billing Profile & Reimbursement Data

Sign up for Kool Koala Pediatric And Adolescent Dentistry — 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