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

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

3 Rivers Pediatric Dentistry (NPI 1578081428)

Field	Value
Entity Type	Organization
Organization	3 Rivers Pediatric Dentistry
Address	2680 Washburn St.
City	Missoula
State	MT
ZIP	59801
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 30, 2017

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	6,620	$140	$894K
D1120	Prophylaxis–child	19,640	$40	$707.1K
D0120	Periodic oral evaluation - established patient	17,840	$30	$481.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	22,290	$20	$468.1K
D1310	N/A	8,860	$40	$345.4K
D2930	N/A	2,070	$130	$271.4K
D2391	Resin‑based composite – one surface, posterior	3,170	$80	$241.1K
D1351	Sealant - per tooth	8,410	$30	$235.4K
D0272	N/A	9,080	$20	$208.8K
D1330	N/A	8,850	$20	$203.5K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

3 Rivers Pediatric Dentistry — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	13	20	2,090	$120	$493.4K
D2392	Post 2 surface resin‑based composite	8	130	310	$120	$173.4K
D1310	N/A	7	50	520	$40	$119.6K
D1351	Sealant - per tooth	10	60	590	$30	$101.4K
D1120	Prophylaxis–child	8	180	200	$30	$88.4K
D9310	N/A	21	40	450	$50	$74.1K
D1330	N/A	8	60	340	$20	$65.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	19	80	290	$50	$59.8K
D9230	N/A	6	50	250	$30	$55.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9	260	340	$20	$54.4K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as 3 Rivers Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Opportunity Resources Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$48.5M
Missoula Developmental Service Corp	MT	Non-emergency Medical Transport (VAN)	$0	$33.6M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M

3 Rivers Pediatric Dentistry — Billing Profile & Reimbursement Data

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3 Rivers Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for 3 Rivers 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