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

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

True Pediatric Dental Care LLC (NPI 1326507369)

Field	Value
Entity Type	Organization
Organization	True Pediatric Dental Care LLC
Address	233 Elm St Fl 2
City	West Haven
State	CT
ZIP	06516
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 19, 2019

Payer Source	Total Paid
Medicaid	$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.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2332	N/A	3,730	$160	$593.5K
D1120	Prophylaxis–child	9,090	$40	$391K
D0120	Periodic oral evaluation - established patient	7,950	$30	$262.4K
D1208	Topical application of fluoride - excluding varnish	9,150	$30	$247.1K
D2392	Post 2 surface resin‑based composite	1,620	$110	$173.3K
D0272	N/A	2,660	$30	$82.5K
D0150	Comprehensive oral evaluation – new or established patient	1,050	$60	$65K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	440	$110	$48.3K
D1351	Sealant - per tooth	1,110	$40	$43.1K
D0140	Limited oral evaluation – problem focused	630	$50	$28.1K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

True Pediatric Dental Care LLC — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	107	390	620	$80	$144.8K
D1120	Prophylaxis–child	51	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	203	330	430	$60	$89.4K
D9230	N/A	65	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	61	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	90	210	370	$70	$79.3K
D1351	Sealant - per tooth	69	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	38	560	740	$20	$66.4K
D2393	Resin-based composite, three surfaces, posterior	178	220	130	$100	$54.5K
D0330	N/A	173	330	250	$50	$53.6K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apt Foundation Inc.	CT	Methadone Clinic	$0	$21.6M
West Haven Board Of Education	CT	Local Education Agency (LEA)	$0	$6.3M
Haven Pediatric Dentistry,llc	CT	Pediatric Dentistry	$0	$5.6M
Livwell Pain Management LLC	CT	Family Nurse Practitioner	$0	$3.9M
West Haven Pediatrics, LLC	CT	Pediatrics Physician	$0	$3.5M
Shoreline Wellness Behavioral Health Clinic, LLC	CT	Community/Behavioral Health Agency	$0	$2.8M
Shoreline Wellness Behavioral Health Outreach Inc	CT	Community/Behavioral Health Agency	$0	$2.5M
Pediatric Advanced Care Of West Haven LLC	CT	Pediatric Nurse Practitioner	$0	$2.4M
Elvin Griffith, M.d. P.C.	CT	Internal Medicine Physician	$0	$1.7M
Elm Family Dental Associates LLC	CT	General Practice Dentistry	$0	$1.3M

True Pediatric Dental Care LLC — Billing Profile & Reimbursement Data

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True Pediatric Dental Care 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