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

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

South Shore Pediatric Dentistry (NPI 1427484062)

Field	Value
Entity Type	Organization
Organization	South Shore Pediatric Dentistry
Address	5 Federal St
City	Weymouth
State	MA
ZIP	02188
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 15, 2013

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	25,780	$50	$1.2M
D8670	N/A	3,690	$220	$815K
D1208	Topical application of fluoride - excluding varnish	29,280	$30	$790.4K
D0120	Periodic oral evaluation - established patient	25,630	$30	$691.9K
D2392	Post 2 surface resin‑based composite	2,700	$110	$299.8K
D1351	Sealant - per tooth	7,870	$40	$298.9K
D2930	N/A	1,360	$200	$266.6K
D0272	N/A	8,820	$30	$246.9K
D0220	Intraoral - periapical first radiographic image	12,690	$20	$228.5K
D0330	N/A	2,470	$80	$202.9K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

South Shore Pediatric Dentistry — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	60	260	1,530	$230	$664.9K
D2930	N/A	34	90	830	$180	$325.7K
D1120	Prophylaxis–child	14	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	349	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	142	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	106	780	420	$80	$109.6K
D1351	Sealant - per tooth	51	450	490	$40	$101.3K
D8680	N/A	61	130	350	$90	$89.7K
D2391	Resin‑based composite – one surface, posterior	103	660	340	$60	$84.9K
D0120	Periodic oral evaluation - established patient	33	1,510	980	$20	$78.6K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brewster Ambulance Service Inc.	MA	Ambulance	$25.4M	$107.1M
Eascare LLC	MA	Land Ambulance	$1.9M	$17.6M
South Shore Mri, Limited Partnership	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$586.5K	$1.1M
James Mensching	MA	Emergency Medicine Physician	$88K	$139.9K
James Hinchey	MA	Emergency Medicine Physician	$104.9K	$5.7K
Joyce Twomey	MA	Family Nurse Practitioner	$84.6K	$0
Melanie Snyder	MA	Physical Therapist	$62.3K	$0

South Shore Pediatric Dentistry — Billing Profile & Reimbursement Data

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South Shore Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for South Shore 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