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

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

Dirigo Pediatric Dentistry (NPI 1538632997)

Field	Value
Entity Type	Organization
Organization	Dirigo Pediatric Dentistry
Address	701 Us Route 1 Ste 3
City	Yarmouth
State	ME
ZIP	04096
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 9, 2019

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	7,700	$100	$793.3K
D1120	Prophylaxis–child	9,940	$40	$367.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,610	$100	$250.5K
D0120	Periodic oral evaluation - established patient	8,400	$30	$243.6K
D2930	N/A	1,630	$130	$217.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,610	$20	$209K
D2391	Resin‑based composite – one surface, posterior	2,480	$80	$196K
D0150	Comprehensive oral evaluation – new or established patient	3,400	$60	$186.8K
D9248	N/A	1,370	$130	$183.4K
D1351	Sealant - per tooth	8,050	$20	$169.1K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Dirigo Pediatric Dentistry — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	20	230	$140	$315.1K
D9223	N/A	9	20	1,140	$170	$267.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17	70	630	$100	$235.5K
D9222	N/A	12	20	870	$140	$195.2K
D9248	N/A	3	10	1,370	$100	$97.2K
D3220	N/A	3	10	70	$70	$90.1K
D2392	Post 2 surface resin‑based composite	3	80	260	$80	$88.2K
D1351	Sealant - per tooth	14	80	1,040	$20	$87.6K
D7962	N/A	1	10	470	$140	$64.7K
D7961	N/A	1	10	430	$140	$58.4K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brighter Heights Maine, LLC	ME	Community/Behavioral Health Agency	$0	$27.8M
Brighter Heights Maine, LLC	ME	Home Health Agency	$0	$4M
Ankle And Foot Associates PC	ME	Foot & Ankle Surgery Podiatrist	$0	$953.5K
Town Of Yarmouth	ME	Land Ambulance	$99.2K	$70.6K
Christopher Pingitore	ME	Foot & Ankle Surgery Podiatrist	$130.1K	$0
Molly O'malley	ME	Family Medicine Physician	$58.4K	$0
Daniel Pierce	ME	Family Medicine Physician	$54.9K	$0
Nathaniel Anderson	ME	Gerontology Nurse Practitioner	$51.8K	$0
Anthony Bustamante	ME	Family Medicine Physician	$51.6K	$0
Barry White	ME	Foot & Ankle Surgery Podiatrist	$39.5K	$0

Dirigo Pediatric Dentistry — Billing Profile & Reimbursement Data

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Dirigo Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for Dirigo Pediatric Dentistry — 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