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

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

Coastal Maine Pediatric Dentistry (NPI 1386931376)

Field	Value
Entity Type	Organization
Organization	Coastal Maine Pediatric Dentistry
Address	84 Baribeau Dr
City	Brunswick
State	ME
ZIP	04011
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 29, 2011

Payer Source	Total Paid
Medicaid	$505.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	4,620	$30	$143.3K
D0120	Periodic oral evaluation - established patient	5,260	$30	$141.9K
D1208	Topical application of fluoride - excluding varnish	6,270	$10	$87.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,520	$40	$56.2K
D0272	N/A	2,250	$20	$40.5K
D2392	Post 2 surface resin‑based composite	330	$50	$17.1K
D9230	N/A	480	$30	$14.4K
D1351	Sealant - per tooth	180	$10	$2.5K
D2391	Resin‑based composite – one surface, posterior	20	$70	$1.2K
D1330	N/A	110	$10	$540

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Coastal Maine Pediatric Dentistry — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	38	80	260	$80	$88.2K
D1351	Sealant - per tooth	65	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	19	160	500	$30	$56.2K
D0120	Periodic oral evaluation - established patient	13	140	480	$20	$46.8K
D2391	Resin‑based composite – one surface, posterior	71	70	230	$60	$43.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22	160	300	$40	$34.6K
D9230	N/A	19	30	680	$20	$30.7K
D0272	N/A	10	80	310	$20	$18.5K
D1208	Topical application of fluoride - excluding varnish	3	50	180	$10	$14.3K
D0220	Intraoral - periapical first radiographic image	85	100	410	$10	$13K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volunteers Of America Northern New England	ME	Mental Illness Community Based Residential Treatment Facility	$0	$58.2M
Independence Association, Inc	ME	Developmentally Disabled Services Day Training Agency	$0	$57.9M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Pathways Of Maine, LLC	ME	Community/Behavioral Health Agency	$0	$22.3M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Pathways Of Maine, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.7M
Lawrence Bossong	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$2.8M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2.7M
Guardian Pharmacy Of Maine, LLC	ME	Long Term Care Pharmacy	$162.2K	$2.4M

Coastal Maine Pediatric Dentistry — Billing Profile & Reimbursement Data

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Coastal Maine 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