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

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

Children's Dentistry Of Gallatin (NPI 1467748921)

Field	Value
Entity Type	Organization
Organization	Children's Dentistry Of Gallatin
Address	1710 Nashville Pike
City	Gallatin
State	TN
ZIP	37066
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 23, 2011

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	29,370	$30	$969K
D0120	Periodic oral evaluation - established patient	29,720	$20	$713.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	27,790	$20	$583.6K
D2930	N/A	5,250	$110	$571.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,120	$60	$292K
D1351	Sealant - per tooth	9,650	$30	$279.8K
D0272	N/A	14,560	$20	$247.4K
D2150	Amalgam - two surfaces, primary or permanent	3,250	$70	$234K
D9230	N/A	8,310	$30	$232.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,840	$40	$203.2K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Children's Dentistry Of Gallatin — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	36	160	770	$110	$399.1K
D3220	N/A	26	110	610	$80	$167.4K
D1120	Prophylaxis–child	22	660	720	$30	$135.9K
D2392	Post 2 surface resin‑based composite	82	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	22	720	980	$20	$106.4K
D2929	N/A	17	20	260	$110	$92.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	23	370	350	$60	$82.8K
D2150	Amalgam - two surfaces, primary or permanent	7	90	220	$70	$81.3K
D2140	Amalgam - one surface, primary or permanent	38	80	230	$60	$78.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15	650	730	$20	$72.1K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Effort Of Tennessee, LLC.	TN	Developmental Disabilities Clinic/Center	$0	$31.4M
Vip Midsouth, LLC	TN	Pediatrics Physician	$0	$30.4M
Sumner Regional Medical Center LLC	TN	General Acute Care Hospital	$0	$11.8M
21st Century Rehabilitation Services	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.5M
County Of Sumner	TN	Land Ambulance	$1.6M	$4.5M
Trinity Pediatrics, P.C.	TN	Pediatrics Physician	$0	$5.8M
Emergency Physicians At Sumner PLLC	TN	Emergency Medical Services (Emergency Medicine) Physician	$0	$3.4M
Tamjeed Ahmed	TN	Hematology & Oncology Physician	$913.2K	$0
Dianna Shipley	TN	Medical Oncology Physician	$636.7K	$0
Anne Hensley	TN	Nurse Practitioner	$410.9K	$0

Children's Dentistry Of Gallatin — Billing Profile & Reimbursement Data

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Children's Dentistry Of Gallatin — 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