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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Pawleys Island Pediatric Dentistry (NPI 1366580276)

Field	Value
Entity Type	Organization
Organization	Pawleys Island Pediatric Dentistry
Address	9462 Ocean Highway
City	Pawleys Island
State	SC
ZIP	29585
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	14,820	$40	$518.7K
D0120	Periodic oral evaluation - established patient	18,460	$20	$424.6K
D2392	Post 2 surface resin‑based composite	3,420	$100	$352.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20,200	$20	$323.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,660	$50	$282.9K
D9230	N/A	6,800	$30	$217.7K
D0272	N/A	11,100	$20	$210.9K
D1351	Sealant - per tooth	5,610	$30	$162.5K
D2391	Resin‑based composite – one surface, posterior	1,240	$80	$98.3K
D2930	N/A	690	$120	$83.7K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Pawleys Island Pediatric Dentistry — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	83	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	45	350	520	$100	$175.3K
D1120	Prophylaxis–child	37	470	600	$30	$156.7K
D9248	N/A	25	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	137	290	380	$90	$125K
D9230	N/A	32	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	77	300	270	$80	$110.5K
D1351	Sealant - per tooth	35	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	47	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	29	610	1,060	$20	$100K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Pawleys Island Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgetown Internists And Pediatricians Inc	SC	Pediatrics Physician	$0	$1.6M
Alicia Foxworth	SC	Family Nurse Practitioner	$1.2M	$0
County Of Georgetown	SC	Ambulance	$465.1K	$32.1K
Crystal Franklin	SC	Optometrist	$49.1K	$445.4K
Nitesh Ainani	SC	Interventional Cardiology Physician	$396.8K	$0
George Keough	SC	Dermatology Physician	$370K	$0
Steven Baird	SC	Internal Medicine Physician	$368.4K	$0
Victor Diaz-gonzalez	SC	Interventional Cardiology Physician	$288K	$110
Patricia Grant	SC	Pain Medicine (Anesthesiology) Physician	$266K	$0
Brian Kinmartin	SC	Physical Therapist	$263.1K	$0

Pawleys Island Pediatric Dentistry — Billing Profile & Reimbursement Data

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Pawleys Island Pediatric Dentistry — 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