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

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

The Dental Center Of South Bend LLC (NPI 1538184460)

Field	Value
Entity Type	Organization
Organization	The Dental Center Of South Bend LLC
Address	1005 E Lasalle Ave
City	South Bend
State	IN
ZIP	46617
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	16,040	$130	$2M
D1120	Prophylaxis–child	49,390	$30	$1.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	63,140	$20	$1.3M
D0120	Periodic oral evaluation - established patient	65,860	$20	$1.3M
D1351	Sealant - per tooth	48,080	$20	$1.1M
D0272	N/A	56,310	$20	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25,620	$40	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	14,510	$70	$1M
D2392	Post 2 surface resin‑based composite	16,350	$60	$915.4K
D2391	Resin‑based composite – one surface, posterior	19,280	$40	$848.5K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

The Dental Center Of South Bend LLC — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	170	1,180	$130	$370.2K
D1354	N/A	47	130	700	$70	$252.9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	248	350	410	$150	$251K
D1351	Sealant - per tooth	7	450	780	$20	$118.4K
D2934	N/A	2	10	250	$130	$114K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	540	460	$70	$106.9K
D3220	N/A	3	90	240	$90	$90K
D2392	Post 2 surface resin‑based composite	2	720	400	$60	$76.5K
D1120	Prophylaxis–child	2	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3	1,230	660	$40	$67K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as The Dental Center Of South Bend LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The South Bend Clinic LLC	IN	Clinic/Center	$566.3K	$19.3M
William Paul	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.4M
Divine Interventions Inc.	IN	In Home Supportive Care Agency	$0	$2.6M
Brent Mohr	IN	Rheumatology Physician	$1.6M	$0
Holly Hake-harris	IN	Dermatology Physician	$840.9K	$0
Ahmed Abdel-latief	IN	Cardiovascular Disease Physician	$248K	$0
Brett Stephens	IN	Diagnostic Radiology Physician	$230.9K	$0
Rita Schmid	IN	Internal Medicine Physician	$229.8K	$0
Jonathan Mccrea	IN	Diagnostic Radiology Physician	$172K	$0
Ron Clark	IN	Orthopaedic Surgery Physician	$117.7K	$52.2K

The Dental Center Of South Bend LLC — Billing Profile & Reimbursement Data

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The Dental Center Of South Bend 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