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

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

Balster Pediatric Dentistry, PC (NPI 1598922247)

Field	Value
Entity Type	Organization
Organization	Balster Pediatric Dentistry, PC
Address	4207 Glass Rd Ne
City	Cedar Rapids
State	IA
ZIP	52402
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 20, 2008

Payer Source	Total Paid
Medicaid	$861.4K
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	7,290	$30	$240.4K
D0120	Periodic oral evaluation - established patient	7,180	$20	$172.2K
D2930	N/A	1,550	$100	$160.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,730	$20	$154.5K
D0272	N/A	2,760	$20	$58K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	670	$40	$29.3K
D0150	Comprehensive oral evaluation – new or established patient	410	$30	$12.2K
D0274	N/A	260	$30	$8.1K
D1354	N/A	1,060	$10	$7.4K
D1351	Sealant - per tooth	280	$20	$5.9K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Balster Pediatric Dentistry, PC — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	30	80	850	$110	$217.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	135	170	330	$50	$88.3K
D1351	Sealant - per tooth	130	190	750	$20	$60.2K
D1120	Prophylaxis–child	29	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	234	630	370	$30	$36.8K
D0120	Periodic oral evaluation - established patient	48	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	47	630	500	$10	$33.3K
D9310	N/A	22	30	350	$30	$32.2K
D9230	N/A	81	90	560	$20	$28.6K
D0140	Limited oral evaluation – problem focused	217	270	200	$20	$20.7K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery Living, Inc.	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$82M
Prk Williams Inc.	IA	In Home Supportive Care Agency	$0	$57.4M
St Luke's Methodist Hospital	IA	General Acute Care Hospital	$0	$36.2M
Life Connection, L.c.	IA	Early Intervention Provider Agency	$0	$26.3M
Medical Laboratories Of Eastern Iowa Lc	IA	Clinical Medical Laboratory	$1.4M	$14.4M
East Central Iowa Acute Care, PLLC	IA	Emergency Medicine Physician	$0	$10.6M
Covenant Family Solutions, LLC	IA	Community/Behavioral Health Agency	$0	$8.5M
Radiology Consultants Of Iowa, Plc	IA	Diagnostic Radiology Physician	$0	$5.5M
Weland Clinical Laboratories, P.C.	IA	Clinical Medical Laboratory	$1.2M	$3.8M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M

Balster Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Balster 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