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

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

Peter Frandsen Pediatric Dentistry, LLC (NPI 1316586779)

Field	Value
Entity Type	Organization
Organization	Peter Frandsen Pediatric Dentistry, LLC
Address	2 Copeland Ave Ste 203
City	La Crosse
State	WI
ZIP	54603
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 3, 2020

Payer Source	Total Paid
Medicaid	$1.8M
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
D2930	N/A	2,290	$130	$287.9K
D2392	Post 2 surface resin‑based composite	3,710	$70	$240.8K
D1120	Prophylaxis–child	6,370	$30	$159.3K
D0120	Periodic oral evaluation - established patient	7,470	$20	$141.9K
D9230	N/A	2,470	$50	$118.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,760	$20	$116.4K
D1351	Sealant - per tooth	5,390	$20	$113.3K
D9248	N/A	950	$120	$108.8K
D0210	Intraoral - complete series of radiographic images	1,520	$60	$88K
D2391	Resin‑based composite – one surface, posterior	1,550	$50	$79K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Peter Frandsen Pediatric Dentistry, LLC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	21	80	410	$150	$427.7K
D2392	Post 2 surface resin‑based composite	38	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	73	220	430	$50	$111.4K
D1351	Sealant - per tooth	64	340	1,020	$20	$90.2K
D9248	N/A	5	10	390	$110	$89.8K
D2393	Resin-based composite, three surfaces, posterior	107	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	54	240	300	$50	$71.8K
D1120	Prophylaxis–child	52	520	460	$30	$62.6K
D9420	N/A	23	40	170	$200	$62.2K
D0210	Intraoral - complete series of radiographic images	67	270	360	$40	$60K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family & Children's Center, Inc.	WI	Child Mental Illness Respite Care	$0	$7.1M
Tri-state Ambulance, Inc.	WI	Land Ambulance	$1.5M	$4.1M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$1.8M

Peter Frandsen Pediatric Dentistry, LLC — Billing Profile & Reimbursement Data

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Peter Frandsen Pediatric Dentistry, LLC — 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