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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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 Ltd (NPI 1487882718)

Field	Value
Entity Type	Organization
Organization	Pediatric Dentistry Ltd
Address	1205 16th Ave. South
City	Fargo
State	ND
ZIP	58103
Taxonomy	Dentist
NPI Enumerated	June 25, 2009

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	1,590	$180	$292.9K
D1120	Prophylaxis–child	4,820	$50	$236.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,850	$30	$198.7K
D0120	Periodic oral evaluation - established patient	5,100	$40	$183.6K
D9420	N/A	550	$280	$151.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	950	$110	$104.3K
D0272	N/A	2,600	$30	$85.9K
D0150	Comprehensive oral evaluation – new or established patient	1,050	$70	$68.4K
D9230	N/A	670	$50	$32.2K
D2392	Post 2 surface resin‑based composite	130	$180	$23.6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Pediatric Dentistry Ltd — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	10	1,170	$150	$264.2K
D2392	Post 2 surface resin‑based composite	18	40	130	$110	$83.4K
D9420	N/A	3	10	120	$200	$77.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	20	300	$90	$76.2K
D2391	Resin‑based composite – one surface, posterior	21	30	100	$90	$63.3K
D1120	Prophylaxis–child	4	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	7	120	350	$40	$46.8K
D1351	Sealant - per tooth	18	30	470	$20	$46.6K
D0140	Limited oral evaluation – problem focused	39	40	100	$70	$44K
D3220	N/A	4	10	220	$100	$40.1K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M

Pediatric Dentistry Ltd — Billing Profile & Reimbursement Data

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Pediatric Dentistry Ltd — Billing Profile & Reimbursement Data

Sign up for Pediatric Dentistry Ltd — 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