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

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

Grayson Pediatric Dentistry, P.C. (NPI 1598067993)

Field	Value
Entity Type	Organization
Organization	Grayson Pediatric Dentistry, P.C.
Address	2594 Loganville Hwy
City	Grayson
State	GA
ZIP	30017
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 17, 2010

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	13,240	$30	$344.2K
D0120	Periodic oral evaluation - established patient	13,270	$20	$238.8K
D1351	Sealant - per tooth	8,860	$20	$203.7K
D1208	Topical application of fluoride - excluding varnish	13,130	$10	$183.8K
D0220	Intraoral - periapical first radiographic image	14,320	$10	$157.6K
D0272	N/A	7,880	$20	$141.9K
D0274	N/A	5,180	$30	$139.9K
D2392	Post 2 surface resin‑based composite	1,710	$70	$121.3K
D0230	Intraoral - periapical each additional radiographic image	14,140	$10	$113.2K
D0150	Comprehensive oral evaluation – new or established patient	3,100	$30	$83.6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Grayson Pediatric Dentistry, P.C. — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	14	80	270	$90	$262.3K
D2391	Resin‑based composite – one surface, posterior	13	60	190	$80	$186.8K
D1351	Sealant - per tooth	5	70	580	$30	$176.7K
D1120	Prophylaxis–child	8	140	620	$30	$173.7K
D0120	Periodic oral evaluation - established patient	8	150	640	$20	$117.8K
D1208	Topical application of fluoride - excluding varnish	4	90	560	$20	$110.3K
D0274	N/A	9	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	65	70	240	$70	$85.9K
D0272	N/A	8	110	410	$20	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	12	130	210	$30	$75.4K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Ryan	GA	Physical Therapist	$67.7K	$0
Kisha Ena Pagay	GA	Physical Therapist	$25.6K	$0

Grayson Pediatric Dentistry, P.C. — Billing Profile & Reimbursement Data

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Grayson Pediatric Dentistry, P.C. — Billing Profile & Reimbursement Data

Sign up for Grayson Pediatric Dentistry, P.C. — 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