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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Carolina Children's Dentistry, LLC (NPI 1528112398)

Field	Value
Entity Type	Organization
Organization	Carolina Children's Dentistry, LLC
Address	500 Physicians Ln
City	Sumter
State	SC
ZIP	29150
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	22,450	$40	$785.6K
D2930	N/A	5,440	$130	$690.8K
D2392	Post 2 surface resin‑based composite	5,570	$100	$578.9K
D0120	Periodic oral evaluation - established patient	21,850	$20	$524.5K
D1208	Topical application of fluoride - excluding varnish	25,790	$20	$412.7K
D9230	N/A	8,430	$30	$278.3K
D0272	N/A	14,260	$20	$270.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,750	$100	$176.3K
D3220	N/A	2,070	$80	$170.1K
D0220	Intraoral - periapical first radiographic image	11,820	$10	$153.7K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Carolina Children's Dentistry, LLC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	15	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	20	350	520	$100	$175.3K
D1120	Prophylaxis–child	19	470	600	$30	$156.7K
D9248	N/A	18	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	57	290	380	$90	$125K
D9230	N/A	23	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	90	300	270	$80	$110.5K
D1351	Sealant - per tooth	41	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	117	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	21	610	1,060	$20	$100K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-midlands	SC	General Acute Care Hospital	$0	$28.1M
Sumter Pediatrics, P.A.	SC	Pediatrics Physician	$0	$24.4M
Tandem Health Sc	SC	Federally Qualified Health Center (FQHC)	$0	$17.3M
Colonial Family Practice, LLC	SC	Family Medicine Physician	$0	$9.5M
Tandem Health Sc	SC	Federally Qualified Health Center (FQHC)	$0	$7.8M
Prisma Health Tuomey	SC	Emergency Medicine Physician	$0	$6.8M
Wesmark Dental Health Center	SC	General Practice Dentistry	$0	$6.3M
Addus Healthcare (south Carolina), Inc.	SC	In Home Supportive Care Agency	$0	$5.5M
Sumter School District	SC	Local Education Agency (LEA)	$0	$4.2M
Kool Smiles, PC	SC	General Practice Dentistry	$0	$4.2M

Carolina Children's Dentistry, LLC — Billing Profile & Reimbursement Data

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Carolina Children's Dentistry, 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