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

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

Mainely Kids & Teens, LLC (NPI 1467835678)

Field	Value
Entity Type	Organization
Organization	Mainely Kids & Teens, LLC
Address	26 Acme Rd
City	Brewer
State	ME
ZIP	04412
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 7, 2015

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	23,180	$120	$2.8M
D1351	Sealant - per tooth	43,040	$20	$903.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,430	$100	$800.8K
D1120	Prophylaxis–child	20,500	$40	$717.4K
D3220	N/A	7,750	$70	$518.9K
D9223	N/A	3,460	$150	$515.4K
D0150	Comprehensive oral evaluation – new or established patient	6,820	$50	$368.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	22,930	$20	$366.9K
D2929	N/A	1,000	$280	$278.6K
D0272	N/A	9,920	$20	$208.2K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Mainely Kids & Teens, LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	20	230	$140	$315.1K
D9223	N/A	3	20	1,140	$170	$267.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	70	630	$100	$235.5K
D9222	N/A	7	20	870	$140	$195.2K
D2929	N/A	1	10	530	$320	$171.4K
D9248	N/A	2	10	1,370	$100	$97.2K
D3220	N/A	1	10	70	$70	$90.1K
D2392	Post 2 surface resin‑based composite	18	80	260	$80	$88.2K
D1351	Sealant - per tooth	2	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	1	160	500	$30	$56.2K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Mainely Kids & Teens, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rww Outpatient Rehab Services, Inc.	ME	In Home Supportive Care Agency	$0	$36.5M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$24.6M
A&m Home Care Corp	ME	Personal Care Attendant	$0	$17.3M
Manzo Corporation	ME	In Home Supportive Care Agency	$0	$8.5M
Higher Ground Services LLC	ME	Community/Behavioral Health Agency	$0	$5.7M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Albert Adams	ME	Pediatrics Physician	$0	$1.1M
Autumn Of Life In Home Care	ME	In Home Supportive Care Agency	$0	$659.4K
A Time To Rise - Counseling & Wellness LLC	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$556.6K
Gentle Hands Home Care	ME	Home Health Agency	$0	$382.3K

Mainely Kids & Teens, LLC — Billing Profile & Reimbursement Data

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Mainely Kids & Teens, LLC — 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