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

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

Kids Dentistry-new Albany (NPI 1366620247)

Field	Value
Entity Type	Organization
Organization	Kids Dentistry-new Albany
Address	2325 Green Valley Rd
City	New Albany
State	IN
ZIP	47150
Taxonomy	Dental Clinic/Center
NPI Enumerated	February 4, 2008

Payer Source	Total Paid
Medicaid	$4.6M
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
D1354	N/A	8,170	$70	$539.4K
D1120	Prophylaxis–child	18,520	$30	$536.9K
D2930	N/A	3,640	$130	$473.7K
D0120	Periodic oral evaluation - established patient	21,550	$20	$409.5K
D1351	Sealant - per tooth	15,710	$30	$408.4K
D2392	Post 2 surface resin‑based composite	4,810	$60	$293.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,440	$40	$264.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,560	$20	$232.4K
D2391	Resin‑based composite – one surface, posterior	4,290	$50	$210.3K
D1208	Topical application of fluoride - excluding varnish	12,970	$20	$207.5K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Kids Dentistry-new Albany — 8 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	48	170	1,180	$130	$370.2K
D1354	N/A	18	130	700	$70	$252.9K
D1351	Sealant - per tooth	40	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	153	540	460	$70	$106.9K
D3220	N/A	69	90	240	$90	$90K
D2392	Post 2 surface resin‑based composite	36	720	400	$60	$76.5K
D1120	Prophylaxis–child	25	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	57	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	56	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	29	1,360	800	$20	$53.2K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Kids Dentistry-new Albany, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc.	IN	General Acute Care Hospital	$0	$34.6M
Nassim And Associates, Psc	IN	Specialist	$0	$13.8M
Ohio Valley Medex Inc	IN	Home Health Agency	$0	$13.5M
Rauch Inc.	IN	Early Intervention Provider Agency	$0	$13.3M
Volunteers Of America Of Kentucky Inc	IN	Voluntary or Charitable Agency	$0	$11.6M
Physicians Medical Center LLC	IN	General Acute Care Hospital	$0	$11.4M
Lifespan Resources	IN	Case Management Agency	$0	$10.7M
Floyd Emergency Medicine Associates PC	IN	Emergency Medicine Physician	$0	$6.6M
Adaptive Community Support Services Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$4.1M
Associates In Counseling And Psychotherapy	IN	Clinical Psychologist	$0	$3.9M

Kids Dentistry-new Albany — Billing Profile & Reimbursement Data

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Kids Dentistry-new Albany — 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