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.

Carolina Children's Dentistry, PA (NPI 1396899175)

Field	Value
Entity Type	Organization
Organization	Carolina Children's Dentistry, PA
Address	7701 Trenholm Road Ext
City	Columbia
State	SC
ZIP	29223
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	2,820	$130	$363.9K
D1120	Prophylaxis–child	8,150	$40	$285.1K
D0120	Periodic oral evaluation - established patient	7,720	$20	$177.4K
D2392	Post 2 surface resin‑based composite	1,700	$100	$177.2K
D1208	Topical application of fluoride - excluding varnish	10,960	$20	$175.4K
D9230	N/A	3,630	$30	$116.2K
D0272	N/A	6,060	$20	$115.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,050	$100	$104.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,030	$50	$101.5K
D0150	Comprehensive oral evaluation – new or established patient	2,000	$40	$82K

Showing 1–10 of 23

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

Carolina Children's Dentistry, PA — 0 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	38	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	98	350	520	$100	$175.3K
D1120	Prophylaxis–child	69	470	600	$30	$156.7K
D9248	N/A	38	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	87	290	380	$90	$125K
D9230	N/A	59	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	191	300	270	$80	$110.5K
D1351	Sealant - per tooth	119	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	160	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	81	610	1,060	$20	$100K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Carolina Children's Dentistry, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamison Consultant's, LLC	SC	Mental Health Counselor	$0	$15.3M
About Play LLC	SC	Early Intervention Provider Agency	$0	$13.3M
State Of South Carolina	SC	Clinical Medical Laboratory	$0	$9.1M
Midlands Dental Group, P.l.	SC	Dental Clinic/Center	$0	$7.7M
Palmetto Surgery Center LLC	SC	Ambulatory Surgical Clinic/Center	$1.4M	$4.6M
Healthcare Etc, LLC	SC	In Home Supportive Care Agency	$0	$5.4M
Restorative Health Services Of Sc, LLC	SC	In Home Supportive Care Agency	$0	$3.9M
Dent,s Alternative Adult Daycare Health Services,llp	SC	Adult Day Care Clinic/Center	$0	$3.6M
Barron Fishburne	SC	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Jeffrey Gross	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0

Carolina Children's Dentistry, PA — Billing Profile & Reimbursement Data

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Carolina Children's Dentistry, PA — 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