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

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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 Group, LLC (NPI 1609018548)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Group, LLC
Address	1421 E 13th St
City	Tulsa
State	OK
ZIP	74120
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 24, 2009

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	15,120	$120	$1.8M
D2392	Post 2 surface resin‑based composite	13,600	$110	$1.5M
D9248	N/A	8,470	$130	$1.1M
D1120	Prophylaxis–child	31,660	$30	$949.6K
D0120	Periodic oral evaluation - established patient	35,710	$20	$749.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	43,120	$20	$733.1K
D1351	Sealant - per tooth	22,940	$20	$550.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,120	$50	$545.3K
D2393	Resin-based composite, three surfaces, posterior	3,150	$150	$478K
D3220	N/A	5,180	$90	$466.3K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Pediatric Dental Group, LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	41	50	630	$1,140	$1.4M
D3230	N/A	5	10	1,150	$100	$577.4K
D2930	N/A	5	90	1,120	$120	$530.4K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	22	70	290	$290	$376.1K
D7240	N/A	30	60	340	$210	$328.8K
D9248	N/A	3	40	640	$130	$218.1K
D3220	N/A	6	60	560	$90	$191.9K
D2392	Post 2 surface resin‑based composite	7	330	530	$100	$162.1K
D9223	N/A	20	50	450	$140	$149.1K
D2393	Resin-based composite, three surfaces, posterior	13	190	300	$140	$128.6K

Showing 1–10 of 43

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Dental Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ob Dental, LLC	OK	General Practice Dentistry	$0	$2.5M

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$37.8M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Professional Counselor	$0	$10.3M
A New Way Center	OK	Community/Behavioral Health Agency	$0	$7.6M
Indian Health Care Resource Center	OK	Clinic/Center	$0	$2.4M
Parkside, Inc.	OK	Adult Mental Health Clinic/Center	$0	$2.2M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Marcelle Nkombengnondo	OK	Family Medicine Physician	$223.6K	$0
Hafida Mumallah	OK	Family Medicine Physician	$112.4K	$0
Jasminder Singh	OK	Hospitalist Physician	$98.2K	$0
Meredith Mogan	OK	Family Medicine Physician	$29.5K	$0

Pediatric Dental Group, LLC — Billing Profile & Reimbursement Data

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Pediatric Dental Group, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References