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

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

Kenneth W Pierson Dds Inc (NPI 1508086299)

Field	Value
Entity Type	Organization
Organization	Kenneth W Pierson Dds Inc
Address	1979 Hillman St
City	Tulare
State	CA
ZIP	93274
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	April 26, 2007

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9223	N/A	20,420	$310	$6.4M
D2930	N/A	37,030	$120	$4.3M
D2392	Post 2 surface resin‑based composite	29,210	$60	$1.9M
D9222	N/A	10,980	$120	$1.3M
D9420	N/A	14,570	$90	$1.3M
D9221	N/A	4,960	$250	$1.2M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18,830	$60	$1M
D3240	N/A	10,200	$100	$979.3K
D9220	N/A	4,590	$210	$958.5K
D2330	Resin-based composite - one surface, anterior	12,600	$80	$944.6K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Kenneth W Pierson Dds Inc — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	720	880	$120	$436.7K
D9223	N/A	3	280	360	$250	$435.2K
D9420	N/A	4	70	650	$80	$290.1K
D3220	N/A	51	650	660	$100	$259.2K
D9221	N/A	5	80	320	$200	$215.2K
D9220	N/A	6	90	270	$210	$209.7K
D3240	N/A	2	30	510	$100	$169.6K
D0120	Periodic oral evaluation - established patient	1,534	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	533	5,260	680	$40	$137.9K
D9222	N/A	2	280	180	$120	$116.8K

Showing 1–10 of 35

Nearby Providers

Other providers in the same ZIP code as Kenneth W Pierson Dds Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altura Centers For Health	CA	Federally Qualified Health Center (FQHC)	$0	$37.2M
Altura Centers For Health	CA	Federally Qualified Health Center (FQHC)	$0	$36.3M
Tu-hi Hong	CA	Urology Physician	$274.5K	$6.1K
Kim Flora	CA	Podiatrist	$206.3K	$0

Kenneth W Pierson Dds Inc — Billing Profile & Reimbursement Data

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Kenneth W Pierson Dds Inc — 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