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.

Pediatric Dental Specialists, P.C. (NPI 1598782310)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Specialists, P.C.
Address	495 Furys Ferry Rd
City	Martinez
State	GA
ZIP	30907
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 16, 2006

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.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	28,140	$40	$985K
D0120	Periodic oral evaluation - established patient	30,970	$30	$774.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28,430	$30	$710.7K
D2391	Resin‑based composite – one surface, posterior	4,160	$70	$291.1K
D0330	N/A	4,690	$60	$290.8K
D2930	N/A	1,490	$190	$285K
D1351	Sealant - per tooth	7,610	$40	$281.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,220	$40	$252.7K
D0272	N/A	9,600	$20	$230.3K
D0150	Comprehensive oral evaluation – new or established patient	5,670	$40	$209.8K

Showing 1–10 of 19

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

Pediatric Dental Specialists, P.C. — 6 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	40	300	$170	$529.9K
D2392	Post 2 surface resin‑based composite	9	80	270	$90	$262.3K
D2391	Resin‑based composite – one surface, posterior	5	60	190	$80	$186.8K
D1351	Sealant - per tooth	6	70	580	$30	$176.7K
D1120	Prophylaxis–child	6	140	620	$30	$173.7K
D0120	Periodic oral evaluation - established patient	5	150	640	$20	$117.8K
D0274	N/A	7	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	28	70	240	$70	$85.9K
D0272	N/A	7	110	410	$20	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	6	130	210	$30	$75.4K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bencor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Gold Cross Ems, Inc.	GA	Land Ambulance	$2.5M	$618.6K
Still Waters Professional Counseling Services, Inc.	GA	Community/Behavioral Health Agency	$0	$2.9M
Caring Together, Inc	GA	Assisted Living Facility	$0	$1.7M
Able Kids Services LLC	GA	Behavior Analyst	$0	$1.5M
Leann Jean	GA	Professional Counselor	$0	$920.8K
Allison Paine	GA	Dermatology Physician	$450.1K	$0
John Downey	GA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$419.1K	$0
Cheryl Carswell	GA	Professional Counselor	$0	$348.4K
Robert Lamberts	GA	Internal Medicine Physician	$0	$338.4K

Pediatric Dental Specialists, P.C. — Billing Profile & Reimbursement Data

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Pediatric Dental Specialists, P.C. — Billing Profile & Reimbursement Data

Sign up for Pediatric Dental Specialists, 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