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

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

Sweet Tooth Pediatric Dentistry (NPI 1588114227)

Field	Value
Entity Type	Organization
Organization	Sweet Tooth Pediatric Dentistry
Address	583 Saybrook Rd
City	Middletown
State	CT
ZIP	06457
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 5, 2016

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	8,050	$40	$346.3K
D0120	Periodic oral evaluation - established patient	7,910	$30	$253.2K
D1208	Topical application of fluoride - excluding varnish	8,000	$30	$216.1K
D2392	Post 2 surface resin‑based composite	970	$100	$96.1K
D0272	N/A	2,640	$30	$79.3K
D9230	N/A	1,160	$50	$61.6K
D1351	Sealant - per tooth	1,100	$40	$40.6K
D0274	N/A	550	$40	$24.3K
D2391	Resin‑based composite – one surface, posterior	170	$80	$13.7K
D0330	N/A	70	$80	$5.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Sweet Tooth Pediatric Dentistry — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	148	390	620	$80	$144.8K
D1120	Prophylaxis–child	56	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	217	330	430	$60	$89.4K
D9230	N/A	41	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	62	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	188	210	370	$70	$79.3K
D1351	Sealant - per tooth	71	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	49	560	740	$20	$66.4K
D0330	N/A	240	330	250	$50	$53.6K
D0150	Comprehensive oral evaluation – new or established patient	376	480	380	$40	$51.4K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M

Sweet Tooth Pediatric Dentistry — Billing Profile & Reimbursement Data

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Sweet Tooth Pediatric Dentistry — 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