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

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

Colorado Springs Pediatric Dentistry, PC (NPI 1578760302)

Field	Value
Entity Type	Organization
Organization	Colorado Springs Pediatric Dentistry, PC
Address	9480 Briar Village Point
City	Colorado Springs
State	CO
ZIP	80920
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 27, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	21,150	$30	$719K
D0120	Periodic oral evaluation - established patient	26,630	$20	$639.2K
D2392	Post 2 surface resin‑based composite	4,700	$130	$606.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,340	$20	$576.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,440	$50	$342.1K
D0272	N/A	14,350	$20	$301.3K
D2930	N/A	2,290	$120	$279K
D9230	N/A	6,140	$30	$190.2K
D0330	N/A	2,880	$50	$149.7K
D1351	Sealant - per tooth	3,910	$30	$132.8K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Colorado Springs Pediatric Dentistry, PC — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	40	160	550	$130	$233K
D2392	Post 2 surface resin‑based composite	40	690	290	$130	$148K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	119	420	290	$90	$90.4K
D2391	Resin‑based composite – one surface, posterior	137	530	200	$100	$83.5K
D1120	Prophylaxis–child	17	690	300	$30	$82.1K
D1351	Sealant - per tooth	43	280	450	$30	$73.6K
D3220	N/A	57	80	260	$90	$64.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	36	1,130	300	$50	$59.4K
D0120	Periodic oral evaluation - established patient	19	1,200	430	$20	$56.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18	890	330	$20	$55K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$42M
Amy Shandy Speech Language Pathologist	CO	Speech-Language Pathologist	$0	$25.6M
Children's Hospital Colorado	CO	Children's Hospital	$0	$17.8M
Academy Heights Foot Clinic PC	CO	Foot & Ankle Surgery Podiatrist	$0	$10.8M
In Honor Of Jade LLC Dba Talem Home Care Colorado Springs	CO	In Home Supportive Care Agency	$0	$10M
Unity Transportation LLC	CO	Non-emergency Medical Transport (VAN)	$0	$9M
Childrens Eye Center PC	CO	Ophthalmology Physician	$0	$8M
University Physicians Incorporated	CO	Pediatrics Physician	$0	$7.8M
Matthews-vu Medical Group, P.C.	CO	Internal Medicine Physician	$0	$6.9M
Gorman Medical LLC	CO	Adult Health Nurse Practitioner	$0	$5.1M

Colorado Springs Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Colorado Springs Pediatric Dentistry, PC — 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