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

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

Paramount Pediatric Dentistry Of Racine (NPI 1619507357)

Field	Value
Entity Type	Organization
Organization	Paramount Pediatric Dentistry Of Racine
Address	5820 Washington Ave
City	Mt Pleasant
State	WI
ZIP	53406
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 22, 2020

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	4,270	$170	$704.9K
D1120	Prophylaxis–child	6,950	$40	$243.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,190	$90	$190.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,180	$20	$188.1K
D0120	Periodic oral evaluation - established patient	5,590	$30	$145.4K
D0150	Comprehensive oral evaluation – new or established patient	2,480	$40	$101.6K
D9230	N/A	1,980	$50	$98.9K
D0272	N/A	4,270	$20	$98.1K
D2392	Post 2 surface resin‑based composite	940	$100	$94.8K
D9243	N/A	330	$210	$68.8K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Paramount Pediatric Dentistry Of Racine — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	13	80	410	$150	$427.7K
D2392	Post 2 surface resin‑based composite	104	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	220	430	$50	$111.4K
D1351	Sealant - per tooth	326	340	1,020	$20	$90.2K
D9243	N/A	6	10	270	$70	$86.9K
D2391	Resin‑based composite – one surface, posterior	112	240	300	$50	$71.8K
D1120	Prophylaxis–child	44	520	460	$30	$62.6K
D9420	N/A	25	40	170	$200	$62.2K
D0210	Intraoral - complete series of radiographic images	188	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	61	500	480	$20	$56K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Paramount Pediatric Dentistry Of Racine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Familia Dental Racine LLC	WI	Dental Clinic/Center	$0	$17.9M
Idental LLC	WI	Dentist	$0	$11.7M
Developmental Disabilities Information Service, Inc.	WI	Case Management Agency	$0	$10.9M
Beta Diagnostic Labs LLC	WI	Clinical Medical Laboratory	$1.7M	$8.4M
Mynt Dental Racine LLC	WI	General Practice Dentistry	$0	$4.2M
Covid Care Zone Inc	WI	Clinical Medical Laboratory	$71.4K	$3.6M
Sweet Smiles Mt. Pleasant LLC	WI	General Practice Dentistry	$0	$3.6M
Chad Novasic Pt Ltd	WI	Physical Therapist	$0	$2.6M
Sasan Molavi	WI	Dentist	$0	$2.1M
Wisconsin Smiles	WI	Dental Clinic/Center	$0	$1.4M

Paramount Pediatric Dentistry Of Racine — Billing Profile & Reimbursement Data

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Paramount Pediatric Dentistry Of Racine — 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