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

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

Rochester Pediatric Dentistry LLC (NPI 1609272822)

Field	Value
Entity Type	Organization
Organization	Rochester Pediatric Dentistry LLC
Address	1705 S Boradway Ave Ste B
City	Rochester
State	MN
ZIP	55904
Taxonomy	Dental Clinic/Center
NPI Enumerated	November 16, 2014

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	17,920	$190	$3.5M
D1120	Prophylaxis–child	24,070	$50	$1.1M
D0120	Periodic oral evaluation - established patient	20,660	$40	$847.2K
D1354	N/A	22,020	$40	$792.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23,980	$30	$743.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,100	$110	$664.9K
D2392	Post 2 surface resin‑based composite	6,190	$90	$581.6K
D1351	Sealant - per tooth	11,480	$40	$459.2K
D0272	N/A	13,030	$30	$443.1K
D2391	Resin‑based composite – one surface, posterior	4,840	$80	$372.5K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Rochester Pediatric Dentistry LLC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	70	610	$170	$518.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27	240	730	$100	$243.2K
D2392	Post 2 surface resin‑based composite	23	270	540	$90	$161.5K
D0140	Limited oral evaluation – problem focused	110	390	730	$60	$153.3K
D0120	Periodic oral evaluation - established patient	20	740	430	$50	$120.3K
D2391	Resin‑based composite – one surface, posterior	25	250	420	$70	$116.6K
D2934	N/A	1	10	440	$260	$112.8K
D0330	N/A	68	370	590	$60	$109K
D1354	N/A	2	80	370	$30	$108.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	188	640	380	$50	$93.7K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem River Bluffs, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$165.7M
Olmsted Medical Center	MN	General Acute Care Hospital	$0	$41.2M
Zumbro Valley Health Center	MN	Community/Behavioral Health Agency	$0	$36.1M
Olmsted Medical Center	MN	Clinic/Center	$0	$22.2M
Community Dental Care	MN	General Practice Dentistry	$0	$9M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.2M
County Of Olmsted	MN	Public Health or Welfare Agency	$0	$7.3M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$6.4M
Remjoy Special Tranportation Services LLC	MN	Non-emergency Medical Transport (VAN)	$0	$5.4M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$4.7M

Rochester Pediatric Dentistry LLC — Billing Profile & Reimbursement Data

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Rochester Pediatric Dentistry 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

Nearby Providers

Frequently Asked Questions

References