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

Why is the Medicaid comparison limited to New York 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 York (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 Dentistry & Interceptive Orthodontics P.C. (NPI 1346300209)

Field	Value
Entity Type	Organization
Organization	Pediatric Dentistry & Interceptive Orthodontics P.C.
Address	8016 E Genesee St
City	Fayetteville
State	NY
ZIP	13066
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$33M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	16,570	$430	$7M
D2392	Post 2 surface resin‑based composite	18,460	$300	$5.5M
D1120	Prophylaxis–child	42,670	$60	$2.4M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11,220	$180	$2M
D3220	N/A	7,980	$220	$1.8M
D0120	Periodic oral evaluation - established patient	42,900	$40	$1.7M
D1510	N/A	3,340	$360	$1.2M
D2335	N/A	3,630	$330	$1.2M
D1351	Sealant - per tooth	12,990	$80	$1M
D2330	Resin-based composite - one surface, anterior	4,890	$200	$967.8K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Pediatric Dentistry & Interceptive Orthodontics P.C. — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	380	320	$150	$186.1K
D2390	N/A	3	10	280	$230	$151.6K
D3230	N/A	2	10	80	$220	$127.6K
D7962	N/A	3	10	60	$230	$108.3K
D7961	N/A	2	10	30	$260	$107.1K
D2392	Post 2 surface resin‑based composite	14	2,080	250	$80	$85.4K
D1120	Prophylaxis–child	18	2,660	310	$40	$80.8K
D1351	Sealant - per tooth	28	1,010	380	$40	$77.4K
D7960	N/A	2	10	20	$330	$75.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	261	4,250	550	$40	$72.8K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Pediatric Dentistry & Interceptive Orthodontics P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agcny East LLC	NY	Ambulatory Surgical Clinic/Center	$260.6K	$123.9K
James Prezzano	NY	Dermatology Physician	$264.9K	$0
William Tucker	NY	Ophthalmology Physician	$156K	$104.7K
Brett Greenky	NY	Adult Reconstructive Orthopaedic Surgery Physician	$240K	$290
Justin Iorio	NY	Orthopaedic Surgery of the Spine Physician	$171.2K	$0
Adam Paddock	NY	Physician Assistant	$151.1K	$0
Jessica Bouchard	NY	Medical Physician Assistant	$133K	$0
Amin Fazeli	NY	Dermatology Physician	$126K	$0
Edward Sall	NY	Otolaryngic Allergy Physician	$72.2K	$0
James Mikesell	NY	Clinical Psychologist	$38.2K	$1.1K

Pediatric Dentistry & Interceptive Orthodontics P.C. — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry & Interceptive Orthodontics P.C. — Billing Profile & Reimbursement Data policy alerts

Pediatric Dentistry & Interceptive Orthodontics P.C. — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry & Interceptive Orthodontics P.C. — 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