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

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

Flagstaff Dentistry 4 Kids, PLLC (NPI 1427411255)

Field	Value
Entity Type	Organization
Organization	Flagstaff Dentistry 4 Kids, PLLC
Address	710 N Beaver St Bldg 2
City	Flagstaff
State	AZ
ZIP	86001
Taxonomy	General Practice Dentistry
NPI Enumerated	March 30, 2016

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	10,750	$130	$1.4M
D1120	Prophylaxis–child	29,830	$40	$1.3M
D2392	Post 2 surface resin‑based composite	13,240	$90	$1.2M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	36,850	$20	$810.7K
D0120	Periodic oral evaluation - established patient	21,660	$30	$628.1K
D0150	Comprehensive oral evaluation – new or established patient	10,030	$50	$461.3K
D0230	Intraoral - periapical each additional radiographic image	38,190	$10	$458.3K
D1351	Sealant - per tooth	17,590	$30	$457.4K
D0272	N/A	19,440	$20	$447.1K
D2391	Resin‑based composite – one surface, posterior	5,300	$70	$365.7K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Flagstaff Dentistry 4 Kids, PLLC — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	250	330	$50	$65.2K
D2392	Post 2 surface resin‑based composite	9	600	460	$30	$53.2K
D2929	N/A	1	10	60	$120	$49.7K
D1352	N/A	5	10	90	$30	$43.7K
D1120	Prophylaxis–child	13	940	810	$10	$41.5K
D3220	N/A	28	140	220	$40	$31.3K
D0120	Periodic oral evaluation - established patient	25	1,080	650	$10	$25.1K
D2391	Resin‑based composite – one surface, posterior	16	470	240	$30	$25.1K
D2393	Resin-based composite, three surfaces, posterior	7	210	100	$50	$24.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	16	330	180	$30	$19.8K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Flagstaff Dentistry 4 Kids, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flagstaff Medical Center	AZ	General Acute Care Hospital	$0	$63.3M
Flagstaff Medical Center	AZ	Land Ambulance	$0	$46.2M
Flagstaff Medical Center	AZ	Air Ambulance	$0	$37.6M
New Life Wellness Flagstaff	AZ	Community/Behavioral Health Agency	$0	$14.6M
Northern Arizona Healthcare Corporation	AZ	Family Medicine Physician	$0	$11.4M
Flagstaff Emergency Physicians	AZ	Emergency Medicine Physician	$0	$10.4M
North Country Healthcare, Inc.	AZ	Pediatrics Physician	$0	$7.5M
Emeritol Lo Flagstaff LLC	AZ	Assisted Living Facility	$0	$6.5M
Alexander Hu	AZ	Internal Medicine Physician	$3.8M	$0
Flagstaff Bone & Joint Surgical Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$3.1M	$229K

Flagstaff Dentistry 4 Kids, PLLC — Billing Profile & Reimbursement Data

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Flagstaff Dentistry 4 Kids, PLLC — Billing Profile & Reimbursement Data

Sign up for Flagstaff Dentistry 4 Kids, PLLC — 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