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

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

South Pueblo Dental Partners LLP (NPI 1356549950)

Field	Value
Entity Type	Organization
Organization	South Pueblo Dental Partners LLP
Address	1221 S Pueblo Blvd
City	Pueblo
State	CO
ZIP	81005
Taxonomy	General Practice Dentistry
NPI Enumerated	July 5, 2007

Payer Source	Total Paid
Medicaid	$5.8M
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
D2740	N/A	3,180	$550	$1.7M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,580	$90	$900.1K
D0210	Intraoral - complete series of radiographic images	5,990	$80	$461.2K
D2950	N/A	3,160	$130	$397.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,790	$50	$350.6K
D2392	Post 2 surface resin‑based composite	2,650	$130	$346.6K
D0150	Comprehensive oral evaluation – new or established patient	8,850	$40	$345.3K
D0140	Limited oral evaluation – problem focused	8,080	$30	$274.6K
D0274	N/A	6,980	$30	$202.4K
D0120	Periodic oral evaluation - established patient	6,690	$20	$160.6K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

South Pueblo Dental Partners LLP — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2150	Amalgam - two surfaces, primary or permanent	22	60	280	$110	$314.9K
D2140	Amalgam - one surface, primary or permanent	32	40	670	$90	$228K
D2740	N/A	3	210	150	$620	$224.1K
D2392	Post 2 surface resin‑based composite	89	690	290	$130	$148K
D2160	Amalgam - three surfaces, primary or permanent	17	30	280	$140	$101.6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	41	190	170	$150	$101.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	420	290	$90	$90.4K
D2393	Resin-based composite, three surfaces, posterior	71	310	120	$160	$84.5K
D2391	Resin‑based composite – one surface, posterior	149	530	200	$100	$83.5K
D1120	Prophylaxis–child	517	690	300	$30	$82.1K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as South Pueblo Dental Partners LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ted Hernandez Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.9M
Pueblo Diversified Industries, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$17.8M
Abc Home Health Care Personal Services,inc	CO	Home Health Agency	$0	$15.1M
Boone Guest Home	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Pawel R Bielecki, Dds, PC	CO	General Practice Dentistry	$0	$11.5M
Yah Vision	CO	Optometrist	$0	$7M
Hv Pueblo South LLC	CO	Clinic/Center	$0	$6.3M
Yah Ortho Inc	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Adapthealth West, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Pdsc PC	CO	General Practice Dentistry	$0	$4M

South Pueblo Dental Partners LLP — Billing Profile & Reimbursement Data

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South Pueblo Dental Partners LLP — 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