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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Concord Pediatric Dentistry (NPI 1497825491)

Field	Value
Entity Type	Organization
Organization	Concord Pediatric Dentistry
Address	248 Pleasant St
City	Concord
State	NH
ZIP	03301
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Key Findings

CONCORD PEDIATRIC DENTISTRY is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports $13.6M in lifetime Medicaid revenue, indicating Medicaid is the sole recorded payer driving its billings. This concentration means payer-management and network relationships will be dominated by Medicaid policy and reimbursement patterns rather than Medicare incentives.

Revenue is highly concentrated in a small set of procedures: the precomputed top three Medicaid codes account for 43.7% of the provider’s total Medicaid revenue, with D2930 generating $2.8M (20.4%), D0120 $1.6M (11.9%), and D2392 $1.5M (11.3%). This concentration implies that changes in coverage or reimbursement for a handful of codes could materially affect the practice’s revenue.

The code mix is consistent with a high-volume pediatric dental practice that also provides substantial restorative work. High-claim volumes on preventive and child-focused codes — D0120 (50.6K claims), D1208 (55.9K claims), and D1120 (40.6K claims) — alongside large restorative codes such as D2392 (14.2K claims) indicate routine ongoing preventive care paired with frequent restorative interventions.

Competitive standing within New Hampshire is dominant for many pediatric codes: D2930 ranks #1 of 14 providers in-state (100th percentile; notably above typical state volume), D1208 ranks #1 of 126 (100th percentile; extreme outlier), and D0120 ranks #2 of 191 (99th percentile; extreme outlier). These rankings signal the practice is a major statewide provider for several high-volume pediatric services and often far exceeds typical state volume for those codes.

Although taxonomic classification is Pediatric Dentistry, the provider also bills adult-focused services under Medicaid, indicating some mixed-age service delivery. Notably, D1110 (Prophylaxis - adult) accounts for $744.6K (5.5%) and ranks #2 of 138 providers in-state (99th percentile; extreme outlier), suggesting a nontrivial adult preventive caseload.

The practice’s procedure mix shows substantial restorative and surgical capacity in addition to prevention: D2392 contributes $1.5M (11.3%), D7140 extraction contributes $639.2K (4.7%) and ranks #2 of 54 providers (98th percentile; extreme outlier), and D3220 contributes $711.8K (5.2%) and ranks #1 of 8 providers (100th percentile; notably above typical state volume). Together these codes indicate routine operative dentistry and extractions are important revenue drivers.

There is a meaningful volume of problem-focused and diagnostic visits and imaging, supporting a workflow that includes urgent/problem care alongside scheduled preventive visits. Examples include D0140 with $279.2K (2.1%) and a #1 rank of 79 providers (100th percentile; extreme outlier), D0150 with $187.2K (1.4%) at #6 of 104 (95th percentile; notably above typical state volume), and radiographic codes such as D0272 (16.5K claims, $428.9K, 3.2%) at #1 of 71 providers (100th percentile; extreme outlier).

The practice has an established presence in the market, with an NPI enumeration date of 2006-11-08 (~20 years ago), which aligns with the high cumulative claim volumes and dominant state rankings. That tenure supports an interpretation of sustained capacity and an entrenched patient base that underpins the high Medicaid volumes and leading rankings.

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	12,550	$220	$2.8M
D0120	Periodic oral evaluation - established patient	50,650	$30	$1.6M
D2392	Post 2 surface resin‑based composite	14,230	$110	$1.5M
D1120	Prophylaxis–child	40,620	$40	$1.5M
D1208	Topical application of fluoride - excluding varnish	55,890	$20	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	13,790	$50	$744.6K
D3220	N/A	6,910	$100	$711.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,460	$100	$639.2K
D9230	N/A	15,360	$40	$599K
D0272	N/A	16,500	$30	$428.9K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Concord Pediatric Dentistry — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	10	590	$210	$535.2K
D8090	N/A	4	10	220	$1,150	$254.9K
D1354	N/A	3	20	550	$20	$175.1K
D2392	Post 2 surface resin‑based composite	2	60	330	$110	$167.9K
D3220	N/A	1	10	80	$100	$157.1K
D2391	Resin‑based composite – one surface, posterior	46	50	150	$100	$103.9K
D9230	N/A	3	40	710	$40	$96.9K
D1351	Sealant - per tooth	17	70	580	$30	$90.5K
D1120	Prophylaxis–child	2	160	250	$40	$89.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	50	260	$100	$89K

Showing 1–10 of 33

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

Concord Pediatric Dentistry — Billing Profile & Reimbursement Data

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Concord Pediatric Dentistry — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References