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

Why is the Medicaid comparison limited to New York 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. New York (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.

Pediatric Dentistry (NPI 1407993611)

Field	Value
Entity Type	Organization
Organization	Pediatric Dentistry
Address	88 Broad Street
City	Glens Falls
State	NY
ZIP	12801
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$19M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	81,720	$40	$2.9M
D2392	Post 2 surface resin‑based composite	12,110	$240	$2.9M
D1120	Prophylaxis–child	67,210	$40	$2.6M
D2930	N/A	7,630	$290	$2.2M
D1208	Topical application of fluoride - excluding varnish	55,570	$30	$1.4M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,820	$140	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	21,030	$50	$1.1M
D0330	N/A	12,510	$70	$863.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,080	$30	$812.1K
D0272	N/A	23,300	$30	$652.3K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Pediatric Dentistry — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	380	320	$150	$186.1K
D2390	N/A	9	10	280	$230	$151.6K
D2392	Post 2 surface resin‑based composite	26	2,080	250	$80	$85.4K
D1120	Prophylaxis–child	8	2,660	310	$40	$80.8K
D1351	Sealant - per tooth	623	1,010	380	$40	$77.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25	4,250	550	$40	$72.8K
D3220	N/A	14	260	200	$90	$69K
D0120	Periodic oral evaluation - established patient	11	4,610	650	$30	$68.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27	1,140	190	$60	$59.5K
D2335	N/A	151	230	70	$120	$49K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glens Falls Hospital Inc	NY	General Acute Care Hospital	$0	$48.9M
Northern Ec LLC	NY	Ambulatory Surgical Clinic/Center	$326.3K	$1.1M
Alex Frank	NY	Radiation Oncology Physician	$181.5K	$0
Ben Taylor	NY	Radiation Oncology Physician	$169.3K	$0
Geoffrey Hill	NY	Vascular & Interventional Radiology Physician	$120.2K	$130
Elissa Waskiewicz	NY	Family Nurse Practitioner	$103K	$950
Eric Gold	NY	Physician Assistant	$98.8K	$0
Tamekea Bevas	NY	Clinical Social Worker	$94.5K	$0
Juan Garcia	NY	Plastic and Reconstructive Surgery Physician	$78.5K	$0
William Bauer	NY	Gastroenterology Physician	$69.1K	$0

Pediatric Dentistry — Billing Profile & Reimbursement Data

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Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References